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General NPI Number Information
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NPI Number | 1518647403
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Entity Type | Organization
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Legal Business Name | EMPOWERING HANDS THERAPEUTIC MASSAGE
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 5215 SCOTTS VALLEY DR STE F
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-3522
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Country | US
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Telephone | 831-888-7614
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Fax |
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Provider Business Mailing Address
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Address Line | 5215 SCOTTS VALLEY DR STE F
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-3522
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Country | US
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Telephone | 831-888-7614
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY T DREON
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Credential |
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Telephone | 530-598-5017
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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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