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General NPI Number Information
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NPI Number | 1003233099
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Entity Type | Organization
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Legal Business Name | HEAVEN & HEALTH, LLC
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 8 S DUPONT RD
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City | WILMINGTON
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State | DE
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Zip | 19805-1445
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Country | US
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Telephone | 302-999-9565
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Fax | 302-999-0025
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Provider Business Mailing Address
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Address Line | 8 S DUPONT RD
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City | WILMINGTON
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State | DE
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Zip | 19805-1445
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Country | US
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Telephone | 302-999-9565
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Fax | 302-999-0025
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. HELEN LESLEY BERRYMAN
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Credential | LMT, RN
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Telephone | 302-999-9565
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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 | MT0001682
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License Number State | DE
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