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General NPI Number Information
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NPI Number | 1023927035
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Entity Type | Individual
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Provider Name | KIASHUNTI LIMEHOUSE
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 1401 MAIN ST
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City | NEWBERRY
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State | SC
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Zip | 29108-3431
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Country | US
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Telephone | 893-298-4388
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 JEFFERSON ST
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City | NEWBERRY
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State | SC
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Zip | 29108-4324
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Country | US
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Telephone | 803-298-4388
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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 | 13455
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License Number State | SC
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