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General NPI Number Information
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NPI Number | 1477284511
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Entity Type | Individual
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Provider Name | CHRISTINA HEGSTROM ONSTOT
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Gender | Female
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Dates
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Enumeration Date | 06/20/2022
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 9370 S COLORADO BLVD
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-5205
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Country | US
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Telephone | 303-471-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 6493 S DATURA ST
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City | LITTLETON
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State | CO
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Zip | 80120-3218
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Country | US
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Telephone | 303-495-8333
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Fax |
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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 | 9574
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License Number State | CO
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