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General NPI Number Information
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NPI Number | 1003244757
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Entity Type | Organization
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Legal Business Name | FACE & BODYWORKS
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 2100 E HALLANDALE BEACH BLVD SUITE 209
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009
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Country | US
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Telephone | 754-423-1863
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 DIANA DRIVE APT-101
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | LINDA RABAH
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Credential | LMT
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Telephone | 754-423-1863
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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 | MA35014
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License Number State | FL
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