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General NPI Number Information
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NPI Number | 1962017996
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Entity Type | Individual
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Provider Name | JANET PACHECO LMT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 3700 W 15TH ST BLDG B STE. 107B
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City | PLANO
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State | TX
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Zip | 75075-4736
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Country | US
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Telephone | 214-418-0924
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Fax |
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Provider Business Mailing Address
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Address Line | 1917 SAN ANTONIO DR
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City | GARLAND
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State | TX
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Zip | 75042-4233
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Country | US
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Telephone | 214-418-0924
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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 | MT129168
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License Number State | TX
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