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General NPI Number Information
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NPI Number | 1639768039
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Entity Type | Individual
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Provider Name | JOANNE PAULA WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 13223 VENTURA BLVD STE D
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City | STUDIO CITY
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State | CA
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Zip | 91604-1801
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Country | US
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Telephone | 818-395-6192
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Fax |
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Provider Business Mailing Address
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Address Line | 6140 LAUREL CANYON BLVD STE 108
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3311
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Country | US
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Telephone | 747-207-7560
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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 | 45897
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License Number State | CA
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