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General NPI Number Information
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NPI Number | 1033961891
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Entity Type | Organization
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Legal Business Name | ZELLA'S THERAPEUTIC TOUCH MASSAGE AND BODYWORKS LLC
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Dates
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Enumeration Date | 04/04/2024
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 220 AVALON CIR STE C
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City | BRANDON
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State | MS
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Zip | 39047-7670
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Country | US
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Telephone | 601-397-7124
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Fax |
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Provider Business Mailing Address
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Address Line | 2603 PROSPERITY ST
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City | JACKSON
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State | MS
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Zip | 39213-7044
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Country | US
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Telephone | 601-454-9757
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ROSE HOWARD
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Credential |
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Telephone | 601-454-9757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number |
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License Number State |
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