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General NPI Number Information
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NPI Number | 1932808276
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Entity Type | Organization
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Legal Business Name | GOLDEN RATIO HEALTH PLLC
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 450 W GOODWIN ST STE 103B
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City | PRESCOTT
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State | AZ
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Zip | 86303-3781
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Country | US
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Telephone | 928-910-6153
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11380
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City | PRESCOTT
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State | AZ
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Zip | 86304-1380
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Country | US
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Telephone | 928-910-6153
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ROBIN MCKELVY
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Credential | LAC, LMT, DACHM
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Telephone | 928-910-6153
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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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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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