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General NPI Number Information
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NPI Number | 1275146839
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Entity Type | Organization
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Legal Business Name | A&B BODY HEALTH LLC
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 11811 MUKILTEO SPEEDWAY STE 105
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City | MUKILTEO
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State | WA
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Zip | 98275-5442
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Country | US
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Telephone | 425-330-7145
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 816
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City | GRANITE FALLS
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State | WA
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Zip | 98252-0816
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BRIANA VIERA
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Credential | LMT
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Telephone | 425-330-7145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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