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General NPI Number Information
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NPI Number | 1679010433
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Entity Type | Organization
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Legal Business Name | NATURE'S WHISPER MASSAGE
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 175 W 200 N
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City | KAYSVILLE
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State | UT
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Zip | 84037
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Country | US
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Telephone | 801-510-5158
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Fax |
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Provider Business Mailing Address
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Address Line | 175 W 200 N
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City | KAYSVILLE
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State | UT
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Zip | 84037-1942
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Country | US
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Telephone | 801-510-5158
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Fax |
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Authorized Official
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Title or Position | OWNER/MASSAGE THERAPIST
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Name | AMANDA STINGER
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Credential | LMT
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Telephone | 801-510-5158
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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 | 8125034-4701
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License Number State | UT
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