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General NPI Number Information
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NPI Number | 1295224756
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Entity Type | Organization
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Legal Business Name | RETURN TO HARMONY LLC
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 11576 S STATE ST STE 502
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City | DRAPER
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State | UT
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Zip | 84020-7111
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Country | US
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Telephone | 801-619-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 754 SWISS HAVEN CIR
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City | SANTA CLARA
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State | UT
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Zip | 84765-5651
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Country | US
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Telephone | 801-712-6063
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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. ANGEL MARIE KAMETZ
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Credential | LMT
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Telephone | 801-712-6063
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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 | 5697736-4701
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License Number State | UT
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