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NPI Code Detail

MEDICARE: FAITH BAR-SHIMON

MEDICARE:   FAITH  BAR-SHIMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1023353810
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH BAR-SHIMON
Provider Business Mailing Address
First Line : 120 MORRISSEY BLVD UNIT 3463
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95063-1063
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 MORRISSEY BLVD UNIT 3463
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95063-1063
Country : US
Telephone Number : 831-234-8770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2012
Last Update Date : 12/05/2012

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Directions to “ FAITH BAR-SHIMON ” Practice Location

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