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General NPI Number Information
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NPI Number | 1396519732
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Entity Type | Individual
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Provider Name | CALLIA YESENIA MORALES-LINNELL CMT
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 2307 OAKDALE RD STE 704
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City | MODESTO
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State | CA
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Zip | 95355-2656
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Country | US
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Telephone | 209-800-4090
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Fax |
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Provider Business Mailing Address
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Address Line | 13761 REDSTONE ST
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City | LATHROP
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State | CA
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Zip | 95330-9188
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Country | US
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Telephone | 209-679-1942
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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 | 92953
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License Number State | CA
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