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General NPI Number Information
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NPI Number | 1700746633
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Entity Type | Individual
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Provider Name | TIANA HOUSTON LMT
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 3103 MONTERREY DR
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City | BATON ROUGE
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State | LA
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Zip | 70814-4024
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Country | US
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Telephone | 281-219-5429
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Fax | 225-217-0237
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Provider Business Mailing Address
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Address Line | 3103 MONTERREY DR
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City | BATON ROUGE
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State | LA
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Zip | 70814-4024
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Country | US
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Telephone | 281-219-5429
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Fax | 225-217-0237
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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 | LA103555
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License Number State | LA
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