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General NPI Number Information
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NPI Number | 1922467729
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Entity Type | Organization
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Legal Business Name | CHRISTYL TOUCH MASSAGE
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 03/21/2016
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Provider Practice Location Address
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Address Line | 611 W GERMAN ST
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City | HERKIMER
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State | NY
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Zip | 13350-2106
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Country | US
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Telephone | 315-867-2197
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Fax |
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Provider Business Mailing Address
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Address Line | 611 W GERMAN ST
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City | HERKIMER
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State | NY
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Zip | 13350-2106
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Country | US
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Telephone | 315-867-2197
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHRISTINE M FROST
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Credential | RN, LMT
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Telephone | 315-867-2197
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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 | 013295-1
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License Number State | NY
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