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General NPI Number Information
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NPI Number | 1730409590
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Entity Type | Organization
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Legal Business Name | TOUCH OF ENCHANTMENT NETWORK
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 812 STORY ST
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City | BOONE
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State | IA
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Zip | 50036-2711
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Country | US
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Telephone | 515-432-1228
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Fax |
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Provider Business Mailing Address
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Address Line | 812 STORY ST
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City | BOONE
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State | IA
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Zip | 50036-2711
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Country | US
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Telephone | 515-432-1228
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MS. GINA LYNN FAHRNEY-JOHNSON
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Credential |
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Telephone | 515-432-1228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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