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General NPI Number Information
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NPI Number | 1538770821
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Entity Type | Individual
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Provider Name | MICHELLE HONG HOA MUHAMMAD LMT
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Gender | Female
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 1551 VIA AMISTAD
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City | POMONA
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State | CA
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Zip | 91768-4129
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Country | US
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Telephone | 714-371-6599
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Fax |
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Provider Business Mailing Address
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Address Line | 1551 VIA AMISTAD
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City | POMONA
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State | CA
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Zip | 91768-4129
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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 | 15837
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License Number State | CA
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