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General NPI Number Information
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NPI Number | 1497269633
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Entity Type | Individual
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Provider Name | HANNAH SCHENCK
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Gender | Female
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Dates
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Enumeration Date | 11/27/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 9351 GRANT ST STE 100
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City | THORNTON
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State | CO
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Zip | 80229-4364
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Country | US
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Telephone | 720-598-5467
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Fax |
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Provider Business Mailing Address
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Address Line | 6717 VALMONT RD
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City | BOULDER
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State | CO
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Zip | 80301-4707
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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 | 0012687
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License Number State | CO
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