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General NPI Number Information
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NPI Number | 1972419554
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Entity Type | Individual
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Provider Name | LAURIE WEBER CMT
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Gender | Female
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 6210 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92115-3916
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Country | US
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Telephone | 314-452-2322
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Fax |
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Provider Business Mailing Address
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Address Line | 7876 MISSION VISTA DR
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City | SAN DIEGO
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State | CA
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Zip | 92120-1564
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Country | US
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Telephone | 314-452-2322
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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 | 73956
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License Number State | CA
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