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General NPI Number Information
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NPI Number | 1841999810
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Entity Type | Organization
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Legal Business Name | KNEADING TO UNWIND, LLC
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 531 N HIGHWAY 101 STE J
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City | DEPOE BAY
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State | OR
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Zip | 97341-9572
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Country | US
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Telephone | 541-992-3166
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 330
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City | LINCOLN CITY
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State | OR
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Zip | 97367-0330
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Country | US
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Telephone | 541-992-3166
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDIA PATRICIA DOWTY
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Credential | LMT
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Telephone | 541-992-3166
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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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