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General NPI Number Information
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NPI Number | 1073482717
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Entity Type | Organization
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Legal Business Name | DIA DE MASSAGE, LLC
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 135 MADISON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-1238
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Country | US
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Telephone | 505-450-3382
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Fax |
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Provider Business Mailing Address
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Address Line | 135 MADISON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-1238
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Country | US
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Telephone | 505-450-3382
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST/OWNER
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Name | ELIZABETH DILLARD
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Credential | LMT
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Telephone | 505-450-3382
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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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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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