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General NPI Number Information
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NPI Number | 1932897865
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Entity Type | Individual
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Provider Name | CHRISTOPHER THOMAS DUESLER LMT
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Gender | Male
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 966 COLDWATER FALLS WAY
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City | LAS VEGAS
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State | NV
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Zip | 89123-4803
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Country | US
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Telephone | 702-578-9327
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Fax |
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Provider Business Mailing Address
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Address Line | 826 HOLLY LAKE WAY
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City | HENDERSON
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State | NV
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Zip | 89002-8288
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Country | US
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Telephone | 702-578-9327
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | NVMT11024
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License Number State | NV
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