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General NPI Number Information
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NPI Number | 1063604866
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Entity Type | Organization
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Legal Business Name | HEALING HANDS THERAPEUTIC MASSAGE, LLC.
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 10411 COURT HOUSE ROAD SUITE C
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City | SPOTSYLVANIA
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State | VA
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Zip | 22553
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Country | US
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Telephone | 540-898-9434
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Fax | 540-898-9411
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Provider Business Mailing Address
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Address Line | PO BOX 1284
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City | SPOTSYLVANIA
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State | VA
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Zip | 22553-1284
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Country | US
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Telephone | 540-898-9434
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Fax | 540-898-9411
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Authorized Official
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Title or Position | OWNER
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Name | MS. AMY LEA CUMMINGS-HESSE
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Credential | LCMT
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Telephone | 540-898-9434
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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 | 0019005103
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License Number State | VA
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