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General NPI Number Information
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NPI Number | 1306184114
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Entity Type | Organization
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Legal Business Name | CERTIFIED HANDS MASSAGE THERAPY
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 7890 HAVEN AVE SUITE 1
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3051
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Country | US
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Telephone | 800-680-5636
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Fax |
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Provider Business Mailing Address
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Address Line | 7890 HAVEN AVE SUITE 1
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3051
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Country | US
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Telephone | 800-680-5636
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEX M CANO
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Credential | CMT
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Telephone | 909-437-4448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 26944
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License Number State | CA
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