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General NPI Number Information
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NPI Number | 1851917389
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Entity Type | Individual
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Provider Name | STACEY TOOMEY LMT
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Gender | Female
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Dates
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Enumeration Date | 06/20/2020
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Last Update Date | 06/20/2020
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Provider Practice Location Address
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Address Line | 3950 E SUNSET RD STE 118
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City | LAS VEGAS
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State | NV
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Zip | 89120-4906
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Country | US
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Telephone | 702-997-6374
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Fax |
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Provider Business Mailing Address
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Address Line | 9030 W SAHARA AVE PMB 185
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City | LAS VEGAS
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State | NV
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Zip | 89117-5744
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Country | US
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Telephone | 702-771-1279
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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 | 9418
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License Number State | NV
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