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General NPI Number Information
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NPI Number | 1326539636
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Entity Type | Organization
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Legal Business Name | MUSCLE STRENGTH THERAPEUTICS, INC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 4042B W BARNHART RD
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City | TURLOCK
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State | CA
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Zip | 95382-9522
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Country | US
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Telephone | 209-312-8534
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Fax |
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Provider Business Mailing Address
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Address Line | 4042B W BARNHART RD
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City | TURLOCK
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State | CA
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Zip | 95382-9522
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Country | US
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Telephone | 209-312-8534
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUAN ALBERTO GAMEZ AMARAL
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Credential | CMT
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Telephone | 209-312-8534
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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 | 74952
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License Number State | CA
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