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General NPI Number Information
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NPI Number | 1952277899
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Entity Type | Individual
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Provider Name | JASMINE YVONNE ELWOOD LMT
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Gender | Female
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 14665 GALAXIE AVE STE 110
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City | APPLE VALLEY
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State | MN
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Zip | 55124-4509
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Country | US
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Telephone | 651-321-3673
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Fax | 952-432-3542
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Provider Business Mailing Address
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Address Line | 9697 BLUEGILL RD
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City | WOODBURY
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State | MN
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Zip | 55125-8543
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Country | US
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Telephone | 651-321-3673
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Fax | 952-432-3542
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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 | MT-2025-07
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License Number State | MN
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