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General NPI Number Information
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NPI Number | 1861295826
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Entity Type | Organization
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Legal Business Name | UPTRACK BODYWORK & FITNESS LLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 116 3RD ST STE 205
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City | HOOD RIVER
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State | OR
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Zip | 97031-2193
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Country | US
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Telephone | 541-716-1804
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Fax |
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Provider Business Mailing Address
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Address Line | 820 PINE ST
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City | HOOD RIVER
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State | OR
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Zip | 97031-1967
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Country | US
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Telephone | 603-620-5162
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED MASSAGE THERAPIST
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Name | CASSANDRA BERGER
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Credential | LMT
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Telephone | 541-716-1804
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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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