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General NPI Number Information
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NPI Number | 1629747670
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Entity Type | Organization
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Legal Business Name | STEPPING INTO WELLNESS
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Dates
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Enumeration Date | 09/12/2021
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Last Update Date | 09/12/2021
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Provider Practice Location Address
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Address Line | 4408 MARKET ST UNIT H
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City | OAKLAND
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State | CA
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Zip | 94608-3455
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Country | US
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Telephone | 510-274-1275
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Fax |
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Provider Business Mailing Address
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Address Line | 3247 SYLVAN AVE
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City | OAKLAND
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State | CA
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Zip | 94602-3957
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Country | US
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Telephone | 415-336-4036
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAMIE BENDER
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Credential | LAC, DAOM
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Telephone | 415-336-4036
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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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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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