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General NPI Number Information
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NPI Number | 1689983991
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Entity Type | Individual
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Provider Name | BRITTNEY HEITZ-GARCIA LMT
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Gender | Female
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 10200 N MCALISTER RD
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City | ISLAND CITY
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State | OR
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Zip | 97850-8723
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Country | US
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Telephone | 541-805-1846
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 Z AVE
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City | LA GRANDE
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State | OR
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Zip | 97850-3177
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Country | US
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Telephone | 541-805-1846
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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 | 16906
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License Number State | OR
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