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General NPI Number Information
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NPI Number | 1942154158
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Entity Type | Individual
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Provider Name | KAMILA PETTIT
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Gender | Female
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 18652 FLORIDA ST STE 230
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-6007
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Country | US
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Telephone | 562-762-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 156 E 57TH ST
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City | LONG BEACH
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State | CA
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Zip | 90805-4028
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Country | US
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Telephone | 818-452-6535
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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 | 83384
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License Number State | CA
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