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General NPI Number Information
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NPI Number | 1083581698
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Entity Type | Organization
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Legal Business Name | MINDFUL MASSAGE LLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1490 RUSK RD STE 401
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City | ROUND ROCK
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State | TX
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Zip | 78665-3307
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Country | US
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Telephone | 512-809-2895
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Fax |
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Provider Business Mailing Address
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Address Line | 18925 OBED RIVER DR
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-7854
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Country | US
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Telephone | 512-809-2895
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXA MORRIS
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Credential | LMT
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Telephone | 512-804-6898
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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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