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General NPI Number Information
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NPI Number | 1063820454
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Entity Type | Organization
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Legal Business Name | OOH AAAH INC
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 811 LASALLE AVE STE 203
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-2030
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Country | US
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Telephone | 612-333-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 811 LASALLE AVE STE 203
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-2030
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Country | US
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Telephone | 612-333-3444
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Fax |
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Authorized Official
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Title or Position | OWNER, MASSAGE THERAPIST
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Name | MS. DEBRA MUSE
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Credential | M.T.
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Telephone | 612-333-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1718
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | L322 50024
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License Number State | MN
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