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General NPI Number Information
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NPI Number | 1477976447
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Entity Type | Organization
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Legal Business Name | M PLUS M IS ZEN
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Dates
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Enumeration Date | 01/28/2014
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 28951 LOS ALISOS BLVD
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City | MISSION VIEJO
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State | CA
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Zip | 92692-5934
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Country | US
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Telephone | 949-600-6272
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Fax |
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Provider Business Mailing Address
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Address Line | 28951 LOS ALISOS BLVD
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City | MISSION VIEJO
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State | CA
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Zip | 92692-5934
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Country | US
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Telephone | 949-600-6272
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. MARY ANN MARTIN
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Credential | MASSAGE THERAPIST
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Telephone | 562-714-0202
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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 | 35482
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License Number State | CA
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