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General NPI Number Information
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NPI Number | 1699594085
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Entity Type | Individual
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Provider Name | SANDRA JONES MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 12/21/2025
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Provider Practice Location Address
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Address Line | 62086 ROBBINS LAKE RD
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City | JONES
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State | MI
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Zip | 49061-9738
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Country | US
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Telephone | 269-506-7765
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Fax |
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Provider Business Mailing Address
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Address Line | 705 SPRUCE ST
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City | DOWAGIAC
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State | MI
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Zip | 49047-1037
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Country | US
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Telephone | 269-414-8902
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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 | 7501001955
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License Number State | MI
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