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General NPI Number Information
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NPI Number | 1780725515
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Entity Type | Individual
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Provider Name | HOLLY K. TOWKANIUK C.M.T., H.H.P.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 95 W 11TH ST STE 102
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City | TRACY
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State | CA
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Zip | 95376-3960
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Country | US
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Telephone | 209-814-7323
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Fax |
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Provider Business Mailing Address
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Address Line | 2471 GARRETT CT
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City | TRACY
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State | CA
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Zip | 95377-8660
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Country | US
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Telephone | 209-814-7323
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 4524
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | 4524
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 4524
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 4524
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License Number State | CA
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