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General NPI Number Information
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NPI Number | 1144601725
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Entity Type | Organization
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Legal Business Name | JUST RIGHT BODY LLC
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 19131 CALADERO ST
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City | TARZANA
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State | CA
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Zip | 91356-5001
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Country | US
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Telephone | 213-842-0250
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 809
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91603-0809
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Country | US
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Telephone | 213-842-0250
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Fax |
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Authorized Official
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Title or Position | MEDICAL MASSAGE THERAPIST
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Name | LARRY ROGERS JR.
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Credential | M.T.
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Telephone | 213-842-0250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 67091
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License Number State | CA
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