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General NPI Number Information
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NPI Number | 1356125108
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Entity Type | Organization
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Legal Business Name | THE SOOTHING SOLE LLC
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 920 W CALLE ZOCA
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City | SAHUARITA
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State | AZ
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Zip | 85629-0670
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Country | US
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Telephone | 520-585-7829
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Fax | 520-451-5154
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Provider Business Mailing Address
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Address Line | 920 W CALLE ZOCA
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City | SAHUARITA
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State | AZ
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Zip | 85629-0670
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Country | US
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Telephone | 520-585-7829
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Fax | 520-451-5154
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | AMBER TROESTER
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Credential | LMT
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Telephone | 520-585-7829
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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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