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General NPI Number Information
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NPI Number | 1477345973
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Entity Type | Individual
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Provider Name | SUSAN BUETTNER MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 630 N 4TH AVE
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City | TUCSON
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State | AZ
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Zip | 85705-8449
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Country | US
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Telephone | 520-907-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 39130 S RODEO BUCKLE DR
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City | TUCSON
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State | AZ
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Zip | 85739-5934
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Country | US
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Telephone | 520-743-6837
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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 | MT-20373
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License Number State | AZ
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