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General NPI Number Information
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NPI Number | 1144106147
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Entity Type | Organization
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Legal Business Name | AT PEACE MASSAGE THERAPY CLINIC LLC
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 242 W VALLEY AVE # 212
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City | BIRMINGHAM
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State | AL
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Zip | 35209-3634
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Country | US
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Telephone | 205-899-2975
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Fax |
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Provider Business Mailing Address
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Address Line | 242 W VALLEY AVE # 212
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City | BIRMINGHAM
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State | AL
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Zip | 35209-3634
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Country | US
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Telephone | 205-899-2975
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEKIA SHUNAE WELDON
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Credential | LMT 3418, MLD-C
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Telephone | 205-899-2975
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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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