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General NPI Number Information
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NPI Number | 1760842074
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Entity Type | Organization
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Legal Business Name | THE HEALING STUDIO, INC.
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 24977 WASHINGTON AVE SUITE I
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City | MURRIETA
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State | CA
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Zip | 92562-9832
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Country | US
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Telephone | 951-723-0330
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 134
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City | MURRIETA
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State | CA
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Zip | 92564-0134
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Country | US
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Telephone | 951-723-0330
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. KRISSY CHIN
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Credential | MSPT
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Telephone | 786-423-0136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT38175
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License Number State | CA
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