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General NPI Number Information
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NPI Number | 1679852990
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Entity Type | Individual
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Provider Name | CHARITY JANE HARWOOD MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 1761 HOTEL CIR S # 108-109
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City | SAN DIEGO
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State | CA
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Zip | 92108-3318
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Country | US
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Telephone | 619-298-7268
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Fax |
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Provider Business Mailing Address
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Address Line | 12625 MAPLEVIEW ST APT 16
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City | LAKESIDE
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State | CA
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Zip | 92040-2401
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Country | US
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Telephone | 619-933-7354
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | CAMTC #2260
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License Number State | CA
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