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General NPI Number Information
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NPI Number | 1114257128
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Entity Type | Organization
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Legal Business Name | INTUITIVE TOUCH WELLNESS CENTER
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 28388 FRANKLIN RD
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City | SOUTHFIELD
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State | MI
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Zip | 48034-5503
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Country | US
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Telephone | 248-350-3501
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Fax | 248-233-6494
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Provider Business Mailing Address
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Address Line | PO BOX 37130
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City | OAK PARK
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State | MI
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Zip | 48237-0130
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Country | US
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Telephone | 248-350-3501
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Fax | 248-233-6494
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Authorized Official
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Title or Position | PRESIDENT/MASSAGE THERAPIST
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Name | ANITA NORWOOD
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Credential | BA, CMT
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Telephone | 248-350-3501
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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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