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General NPI Number Information
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NPI Number | 1487573531
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Entity Type | Individual
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Provider Name | GUADALUPE HUDGENS MT
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Gender | Male
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 811 W YAKIMA AVE STE 104
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City | YAKIMA
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State | WA
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Zip | 98902-3088
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Country | US
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Telephone | 509-248-4536
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Fax | 509-236-1859
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Provider Business Mailing Address
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Address Line | 1561 BUS RD
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City | MABTON
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State | WA
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Zip | 98935-9773
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Country | US
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Telephone |
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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 | MASS.MA.70146140
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License Number State | WA
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