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General NPI Number Information
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NPI Number | 1417836255
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Entity Type | Individual
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Provider Name | CHRISTINA SHEARER MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 4900 E 57TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57108-8767
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Country | US
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Telephone | 605-951-9650
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Fax |
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Provider Business Mailing Address
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Address Line | 46234 284TH ST
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City | DAVIS
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State | SD
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Zip | 57021-6108
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Country | US
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Telephone | 254-394-9916
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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 | MT11158
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License Number State | SD
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