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General NPI Number Information
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NPI Number | 1346972635
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Entity Type | Individual
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Provider Name | LISA M WOLFE-SCHACTER LMT, CST
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Gender | Female
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 2222 WESTERN TRAILS BLVD STE 101
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City | AUSTIN
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State | TX
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Zip | 78745-1601
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Country | US
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Telephone | 737-471-9066
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Fax |
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Provider Business Mailing Address
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Address Line | 511 EVES NECKLACE DR
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City | BUDA
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State | TX
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Zip | 78610-2248
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Country | US
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Telephone | 248-310-4558
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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 | MT135836
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License Number State | TX
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