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General NPI Number Information
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NPI Number | 1871276055
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Entity Type | Individual
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Provider Name | CARRIE YOUTZY LMT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 1213 PENN AVE
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City | WYOMISSING
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State | PA
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Zip | 19610-2143
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Country | US
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Telephone | 484-820-0210
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Fax | 484-820-0228
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Provider Business Mailing Address
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Address Line | 1000 FREDRICK BLVD
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City | READING
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State | PA
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Zip | 19605-1169
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Country | US
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Telephone | 717-250-1432
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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 | MSG014403
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License Number State | PA
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