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General NPI Number Information
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NPI Number | 1891944864
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Entity Type | Organization
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Legal Business Name | NABY NATURE'S HAND INC
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 307 S 4TH ST
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City | DUNLAP
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State | IL
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Zip | 61525-8025
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Country | US
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Telephone | 309-243-5995
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Fax |
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Provider Business Mailing Address
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Address Line | 307 S 4TH ST
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City | DUNLAP
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State | IL
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Zip | 61525-8025
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Country | US
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Telephone | 309-243-5995
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Fax |
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Authorized Official
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Title or Position | PWNER
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Name | MRS. DIANA L PITTENGER
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Credential | LMT,CNMT,RTR,M
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Telephone | 306-249-5995
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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 | 227-004123
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License Number State | IL
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