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General NPI Number Information
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NPI Number | 1508761743
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Entity Type | Organization
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Legal Business Name | MONICA REYNA CMT
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 5665 N PERSHING AVE STE C8
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City | STOCKTON
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State | CA
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Zip | 95207-4948
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Country | US
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Telephone | 510-200-3257
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Fax | 209-292-6937
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Provider Business Mailing Address
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Address Line | 5665 N PERSHING AVE STE C8
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City | STOCKTON
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State | CA
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Zip | 95207-4948
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Country | US
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Telephone | 510-200-3257
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Fax | 209-292-6937
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Authorized Official
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Title or Position | OWNER
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Name | MONICA ANGELA REYNA
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Credential | CMT
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Telephone | 510-200-3257
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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 |
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License Number State | NULL
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