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General NPI Number Information
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NPI Number | 1376787309
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Entity Type | Organization
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Legal Business Name | THE CARING TOUCH BY GARY & SANDY
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 20079 W. MAIN ST. SUITE B
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City | LANNON
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State | WI
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Zip | 53046
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Country | US
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Telephone | 262-502-4051
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Fax | 262-502-4053
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Provider Business Mailing Address
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Address Line | PO BOX 264 20079 W. MAIN ST. SUITE B
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City | LANNON
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State | WI
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Zip | 53046
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Country | US
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Telephone | 262-502-4051
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Fax | 262-502-4053
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. SANDRA P. SMITH
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Credential | MASSAGE THERAPIST
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Telephone | 262-502-4051
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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 | 731-046
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 743-046
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License Number State | WI
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