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General NPI Number Information
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NPI Number | 1144098047
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Entity Type | Organization
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Legal Business Name | THOU ART AGING
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Dates
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Enumeration Date | 12/20/2023
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 1301 E PARKERVILLE RD STE A5
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City | DESOTO
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State | TX
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Zip | 75115-6419
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Country | US
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Telephone | 972-597-9883
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 E PARKERVILLE RD SUITE A5 #1116
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City | DESOTO
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State | TX
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Zip | 75115-6419
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Country | US
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Telephone | 972-597-9883
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LATOYA NEWTON
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Credential |
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Telephone | 972-597-9883
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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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