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General NPI Number Information
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NPI Number | 1346625803
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Entity Type | Organization
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Legal Business Name | INTUNE BODY THERAPEUTICS
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 10300 W CHARLESTON BLVD STE 17
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City | LAS VEGAS
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State | NV
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Zip | 89135-1038
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Country | US
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Telephone | 702-510-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 6581 LEMITAR DR
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City | LAS VEGAS
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State | NV
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Zip | 89108-2757
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA- KATHARINA A BALL
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Credential | LMT
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Telephone | 702-510-9966
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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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