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General NPI Number Information
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NPI Number | 1295222701
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Entity Type | Organization
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Legal Business Name | HAND OF THE HEART MASSAGE, LLC
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 175 W B ST BUILDING J
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City | SPRINGFIELD
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State | OR
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Zip | 97477
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Country | US
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Telephone | 541-636-3905
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Fax | 541-505-9023
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Provider Business Mailing Address
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Address Line | 175 W B ST BUILDING J
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City | SPRINGFIELD
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State | OR
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Zip | 97477
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Country | US
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Telephone | 541-636-3905
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Fax | 541-505-9023
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JENNIFER NORRIS
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Credential |
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Telephone | 541-636-3905
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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 | 23403
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License Number State | OR
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