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General NPI Number Information
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NPI Number | 1396546131
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Entity Type | Individual
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Provider Name | HELEN GOODRUM ROLFER, BCTMB
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 143 N MCCORMICK ST STE 101
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City | PRESCOTT
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State | AZ
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Zip | 86301-2725
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Country | US
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Telephone | 510-543-4994
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Fax |
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Provider Business Mailing Address
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Address Line | 209 JACOB LN
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City | PRESCOTT
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State | AZ
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Zip | 86303-8805
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Country | US
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Telephone | 510-543-4994
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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 | MT-28434
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License Number State | AZ
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