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NPI 1427304690

NPI 1427304690 : TOUCHSTONE WELLNESS CENTER, INC : BLOOMINGTON, IN

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General NPI Number Information
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    NPI Number           |    1427304690
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOUCHSTONE WELLNESS CENTER, INC 
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Dates
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    Enumeration Date     |    07/25/2012
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    Last Update Date     |    07/25/2012
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Provider Practice Location Address
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    Address Line         |    2864 E. BUICK CADILLAC BLVD 
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    City                 |    BLOOMINGTON
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    State                |    IN
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    Zip                  |    47401
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    Country              |    US
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    Telephone            |    812-337-3529
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2864 E. BUICK CADILLAC BLVD 
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    City                 |    BLOOMINGTON
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    State                |    IN
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    Zip                  |    47401
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    Country              |    US
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    Telephone            |    812-337-3529
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JOSEPH E BOIKE 
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    Credential           |    
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    Telephone            |    812-337-3529
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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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