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General NPI Number Information
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NPI Number | 1346066560
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Entity Type | Organization
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Legal Business Name | BAREFOOT BEAUTY MASSAGE, LLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 710 GEORGE WASHINGTON WAY STE A
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City | RICHLAND
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State | WA
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Zip | 99352-4254
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Country | US
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Telephone | 509-604-0953
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Fax | 201-474-0468
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Provider Business Mailing Address
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Address Line | 710 GEORGE WASHINGTON WAY STE A
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City | RICHLAND
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State | WA
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Zip | 99352-4254
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Country | US
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Telephone | 208-874-9828
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Fax | 201-474-0468
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA TORALES
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Credential |
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Telephone | 208-874-9828
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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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