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General NPI Number Information
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NPI Number | 1467241273
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Entity Type | Organization
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Legal Business Name | PROFOUND TOUCH
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 205 E MONROE ST # 206
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City | AUSTIN
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State | TX
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Zip | 78704-2424
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Country | US
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Telephone | 512-222-6710
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Fax |
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Provider Business Mailing Address
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Address Line | 205 E MONROE ST # 206
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City | AUSTIN
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State | TX
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Zip | 78704-2424
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Country | US
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Telephone | 512-222-6710
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | SAMUELL BARTHOLOMEW
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Credential | LMT
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Telephone | 214-208-2939
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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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