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General NPI Number Information
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NPI Number | 1467817643
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Entity Type | Organization
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Legal Business Name | POWER OF TOUCH MASSAGE & BODYWORK
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 2831 E OAKLAND AVE STE 6
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City | JOHNSON CITY
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State | TN
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Zip | 37601-1300
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Country | US
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Telephone | 423-946-9347
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Fax |
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Provider Business Mailing Address
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Address Line | 2831 E OAKLAND AVE STE 6
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City | JOHNSON CITY
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State | TN
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Zip | 37601-1300
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Country | US
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Telephone | 423-946-9347
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | MS. DAWN MARIE LEONARD
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Credential |
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Telephone | 423-946-9347
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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 | 10871
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License Number State | TN
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