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General NPI Number Information
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NPI Number | 1922991694
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Entity Type | Organization
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Legal Business Name | WHOLE HOLISTIC CARE
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 12401 HESPERIA RD STE 4
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City | VICTORVILLE
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State | CA
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Zip | 92395-5844
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Country | US
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Telephone | 818-818-4667
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Fax |
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Provider Business Mailing Address
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Address Line | 17930 HERCULES ST
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City | HESPERIA
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State | CA
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Zip | 92345-5454
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Country | US
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Telephone | 818-818-4667
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | JUANA L PORRAS
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Credential |
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Telephone | 818-818-4667
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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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