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NPI 1831477850

NPI 1831477850 : ADELAIDE ALICE FLEISCHMAN LMT, RMT, CA, EEMP : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1831477850
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    Entity Type          |    Individual 
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    Provider Name        |    ADELAIDE ALICE FLEISCHMAN LMT, RMT, CA, EEMP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/25/2011
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    Last Update Date     |    07/25/2011
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Provider Practice Location Address
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    Address Line         |    919 IRVING ST SUITE 104
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94122-2206
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    Country              |    US
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    Telephone            |    415-516-2598
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    72 MARTHA AVE 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94131-2835
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    Country              |    US
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    Telephone            |    415-516-2598
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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       |    01218
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    License Number State |    CA
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