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General NPI Number Information
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NPI Number | 1285031740
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Entity Type | Individual
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Provider Name | MADELEINE COUCH CMT
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Gender | Female
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Dates
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Enumeration Date | 11/28/2014
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 1107 JOHNSON AVE
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3303
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Country | US
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Telephone | 805-900-7154
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Fax |
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Provider Business Mailing Address
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Address Line | 485 JAMAICA ST
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City | MORRO BAY
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State | CA
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Zip | 93442-1307
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Country | US
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Telephone | 805-900-7154
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 86222
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License Number State | CA
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