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General NPI Number Information
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NPI Number | 1750251831
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Entity Type | Individual
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Provider Name | SARA FRANCES MATTESON LCMT
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Gender | Female
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2490 PASEO VERDE PKWY STE 100
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City | HENDERSON
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State | NV
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Zip | 89074-7124
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Country | US
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Telephone | 702-250-1238
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Fax |
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Provider Business Mailing Address
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Address Line | 11962 SPURGE LAUREL ST
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City | LAS VEGAS
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State | NV
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Zip | 89183-5568
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Country | US
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Telephone | 702-250-1238
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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 | NVMT1925
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License Number State | NV
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