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General NPI Number Information
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NPI Number | 1417885880
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Entity Type | Organization
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Legal Business Name | HOSTLER HOLISTICS LLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 1725 CARPENTER FLETCHER RD STE 402
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City | DURHAM
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State | NC
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Zip | 27713-2271
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Country | US
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Telephone | 910-964-8190
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12282
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City | DURHAM
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State | NC
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Zip | 27709-2282
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Country | US
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Telephone | 910-964-8190
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | TERESA HOSTLER
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Credential | LMBT
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Telephone | 910-964-8190
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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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