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General NPI Number Information
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NPI Number | 1649185547
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Entity Type | Organization
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Legal Business Name | AT EASE HEALTH CENTER LLC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 704 FORTINO BLVD STE D
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City | PUEBLO
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State | CO
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Zip | 81008-2087
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Country | US
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Telephone | 719-748-7932
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Fax | 719-888-1629
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Provider Business Mailing Address
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Address Line | PO BOX 7516
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City | PUEBLO WEST
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State | CO
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Zip | 81007-0516
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Country | US
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Telephone | 719-748-7932
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Fax | 719-888-1629
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELA DARLING
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Credential | LMT
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Telephone | 719-757-0101
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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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