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General NPI Number Information
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NPI Number | 1285701409
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Entity Type | Individual
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Provider Name | ELIZABETH ANN MCCANDLESS H.H.P.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9302 CARLTON HILLS BLVD
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City | SANTEE
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State | CA
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Zip | 92071-2501
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Country | US
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Telephone | 619-448-6389
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Fax | 619-448-6389
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Provider Business Mailing Address
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Address Line | 9302 CARLTON HILLS BLVD
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City | SANTEE
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State | CA
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Zip | 92071-2501
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Country | US
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Telephone | 619-448-6389
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Fax | 619-448-6389
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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 | AMTA 39950
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | NCBTMB145412-00
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License Number State | CA
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