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General NPI Number Information
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NPI Number | 1922982958
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Entity Type | Organization
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Legal Business Name | BLUE DRAGON FAMILY MASSAGE LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1325 EUCLID AVE STE 5
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City | HELENA
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State | MT
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Zip | 59601-2101
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Country | US
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Telephone | 406-438-7850
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Fax | 406-389-8942
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Provider Business Mailing Address
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Address Line | 1325 EUCLID AVE STE 5
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City | HELENA
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State | MT
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Zip | 59601-2101
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Country | US
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Telephone |
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Fax | 406-389-8942
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KIMBERLY ANTONIA L HOENKE
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Credential | LMT
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Telephone | 406-438-7850
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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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