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General NPI Number Information
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NPI Number | 1447249271
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Entity Type | Individual
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Provider Name | YATAKA D MAGEE CMT
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 9195 GRANT ST SUITE 100
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City | THORNTON
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State | CO
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Zip | 80229-4385
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Country | US
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Telephone | 303-451-7700
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Fax | 303-252-9474
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Provider Business Mailing Address
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Address Line | 720 S COLORADO BLVD SUITE 200-A, DEPT 914
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City | GLENDALE
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State | CO
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Zip | 80246-1912
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Country | US
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Telephone | 303-584-8000
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Fax | 303-584-8141
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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 |
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License Number State |
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