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General NPI Number Information
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NPI Number | 1609689090
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Entity Type | Organization
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Legal Business Name | GLOBAL FUSION BODYWORK AND HYPNOSIS LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 2542 NE COURTNEY DR
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City | BEND
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State | OR
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Zip | 97701
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Country | US
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Telephone | 541-241-2127
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Fax |
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Provider Business Mailing Address
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Address Line | 56 SE 11TH ST
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City | MADRAS
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State | OR
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Zip | 97741
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Country | US
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Telephone | 541-728-8453
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Fax |
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Authorized Official
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Title or Position | OWNER/LMT
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Name | AMY C KOWALSKI
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Credential | LMT
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Telephone | 541-728-8453
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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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