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General NPI Number Information
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NPI Number | 1831875293
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Entity Type | Organization
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Legal Business Name | TIOS THERAPIES
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 800 KING ST SPC 1
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City | POWERS
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State | OR
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Zip | 97466-9691
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Country | US
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Telephone | 509-322-4897
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Fax |
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Provider Business Mailing Address
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Address Line | 800 KING STREET SPACE 1 BOX 396
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City | POWERS
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State | OR
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Zip | 97466
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Country | US
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Telephone | 509-322-4897
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATHAN TIO LEVINE
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Credential | LMT
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Telephone | 509-322-4897
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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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