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General NPI Number Information
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NPI Number | 1770846198
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC TOUCH MASSAGE & WELLNESS - LEAVENWORTH
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 06/20/2012
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Provider Practice Location Address
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Address Line | 505 W HIGHWAY 2 STE 100
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City | LEAVENWORTH
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State | WA
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Zip | 98826-9007
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Country | US
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Telephone | 509-548-8081
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Fax | 509-548-8081
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Provider Business Mailing Address
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Address Line | 505 W HIGHWAY 2 STE 100
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City | LEAVENWORTH
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State | WA
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Zip | 98826-9007
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Country | US
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Telephone | 509-548-8081
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Fax | 509-548-8081
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Authorized Official
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Title or Position | OWNER
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Name | CHANDRA VILLANO
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Credential | ND, LMP
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Telephone | 509-548-8081
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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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