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General NPI Number Information
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NPI Number | 1609639699
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Entity Type | Organization
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Legal Business Name | ANJELIC TOUCH
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 9468 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92503-3746
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Country | US
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Telephone | 951-410-0719
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Fax |
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Provider Business Mailing Address
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Address Line | 6015 KITTY HAWK DR
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City | RIVERSIDE
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State | CA
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Zip | 92504-1421
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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 | MASSAGE THERAPIST
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Name | ANJELICA DEL VILLAR
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Credential |
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Telephone | 951-557-9240
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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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