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General NPI Number Information
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NPI Number | 1326918012
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Entity Type | Individual
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Provider Name | ILSE LUISE ASHBROOK LMT
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Gender | Female
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 906 E 5TH ST STE 107
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City | AUSTIN
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State | TX
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Zip | 78702-3858
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Country | US
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Telephone | 512-264-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 TOWN LAKE CIR APT 416
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City | AUSTIN
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State | TX
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Zip | 78741-3089
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Country | US
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Telephone | 512-264-4500
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Fax |
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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 | MT128220
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License Number State | TX
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