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General NPI Number Information
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NPI Number | 1073469508
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Entity Type | Organization
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Legal Business Name | HOUSE OF REJUVENATE MASSAGE
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 391 SUTTER ST STE 800
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-4325
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Country | US
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Telephone | 415-606-9177
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Fax |
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Provider Business Mailing Address
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Address Line | 391 SUTTER ST STE 800
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-4325
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Country | US
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Telephone | 415-606-9177
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JUTHAMAS JAIKLAM
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Credential |
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Telephone | 415-624-4679
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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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