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General NPI Number Information
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NPI Number | 1518209956
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Entity Type | Organization
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Legal Business Name | OZ FITNESS WA INC
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 3120 S GRAND BLVD UNIT 8473
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City | SPOKANE
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State | WA
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Zip | 99203-2681
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Country | US
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Telephone | 509-315-5561
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Fax | 509-847-1117
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Provider Business Mailing Address
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Address Line | 809 W MAIN AVE FL 2
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City | SPOKANE
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State | WA
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Zip | 99201-5009
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Country | US
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Telephone | 509-747-2500
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Fax | 509-228-0125
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Authorized Official
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Title or Position | REGIONAL DIRECTOR OF OPERATIONS
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Name | D WINEBARGER
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Credential |
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Telephone | 509-228-0128
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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 |
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