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General NPI Number Information
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NPI Number | 1598270969
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Entity Type | Organization
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Legal Business Name | INTEGRATION BODYWORK LLC
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Dates
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Enumeration Date | 12/07/2017
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Last Update Date | 12/07/2017
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Provider Practice Location Address
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Address Line | 715 HILL ST STE 250
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City | MADISON
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State | WI
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Zip | 53705-3572
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Country | US
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Telephone | 608-535-1154
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Fax |
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Provider Business Mailing Address
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Address Line | 715 HILL ST STE 250
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City | MADISON
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State | WI
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Zip | 53705-3572
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Country | US
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Telephone | 608-535-1154
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT HILLIARD ROBISON
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Credential | LMT
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Telephone | 608-535-1154
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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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