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General NPI Number Information
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NPI Number | 1497639603
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Entity Type | Individual
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Provider Name | CHRIS WAYNE TOMERLIN LMT
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Gender | Male
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1271 N STEAMBOAT DR STE 1
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-6263
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Country | US
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Telephone | 479-435-6834
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Fax |
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Provider Business Mailing Address
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Address Line | 6702 W LAKE INVERNESS CT
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City | ROGERS
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State | AR
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Zip | 72758-8975
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Country | US
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Telephone | 870-831-2751
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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 | 1617484
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License Number State | AR
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