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General NPI Number Information
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NPI Number | 1972495216
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Entity Type | Individual
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Provider Name | CHRISTIE DEMOLINA LMT
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 6634 LAKE OTIS PKWY
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City | ANCHORAGE
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State | AK
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Zip | 99507-2176
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Country | US
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Telephone | 907-230-0632
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Fax |
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Provider Business Mailing Address
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Address Line | 11471 BUSINESS BLVD UNIT 771153
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City | EAGLE RIVER
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State | AK
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Zip | 99577-0499
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Country | US
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Telephone | 907-230-0632
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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 | 108920
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License Number State | AK
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