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General NPI Number Information
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NPI Number | 1770442030
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW MOVEMENT AND MASSAGE LLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 150 126TH ST STE C
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City | OROFINO
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State | ID
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Zip | 83544-5016
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Country | US
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Telephone | 406-202-2181
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Fax |
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Provider Business Mailing Address
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Address Line | 1298 OBRIEN RD
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City | OROFINO
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State | ID
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Zip | 83544-6471
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Country | US
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Telephone | 406-202-2181
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Fax |
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Authorized Official
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Title or Position | OWNER, LMT
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Name | ELIZABETH JANE SAMSON
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Credential | LMT
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Telephone | 406-202-2181
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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 |
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License Number State |
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