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General NPI Number Information
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NPI Number | 1336995893
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Entity Type | Organization
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Legal Business Name | THE TREATMENT CENTRE, LLC
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 25040 STEWART ST
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City | LOMA LINDA
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State | CA
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Zip | 92350-1723
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Country | US
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Telephone | 909-558-4975
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1073
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City | LOMA LINDA
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State | CA
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Zip | 92354-1073
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Country | US
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Telephone | 909-206-9191
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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. TANYA LISA FREDERICK
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Credential |
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Telephone | 909-206-9191
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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 |
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License Number State |
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