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General NPI Number Information
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NPI Number | 1013836352
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Entity Type | Organization
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Legal Business Name | BRANDY LAWRENCE LICENSED MASSAGE THERAPIST, PLLC
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Dates
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Enumeration Date | 07/11/2026
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Last Update Date | 07/11/2026
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Provider Practice Location Address
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Address Line | 407 ALBANY SHAKER RD STE 200
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City | LOUDONVILLE
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State | NY
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Zip | 12211-1963
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Country | US
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Telephone | 518-362-7027
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Fax |
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Provider Business Mailing Address
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Address Line | 411 BRUNSWICK DR
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City | TROY
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State | NY
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Zip | 12180-6660
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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 | FOUNDER/CHIEF WELLNESS OFFICER
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Name | BRANDY LAWRENCE
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Credential | LMT
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Telephone | 518-362-7027
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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 |
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License Number State |
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