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General NPI Number Information
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NPI Number | 1487197661
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Entity Type | Organization
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Legal Business Name | NUINRGY,LLC
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 2730 G RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8364
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Country | US
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Telephone | 970-778-2277
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1113
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City | DELTA
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State | CO
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Zip | 81416-1113
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Country | US
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Telephone | 970-778-2277
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MS. ROBIN ZELLER
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Credential |
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Telephone | 970-778-2277
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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.0014023
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License Number State | CO
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