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General NPI Number Information
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NPI Number | 1154931228
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Entity Type | Organization
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Legal Business Name | GOLDEN TOUCH, LLC
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 8325 E JEFFERSON AVE
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City | DETROIT
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State | MI
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Zip | 48214-2797
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Country | US
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Telephone | 313-566-4866
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Fax |
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Provider Business Mailing Address
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Address Line | 4875 CHALMERS ST
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City | DETROIT
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State | MI
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Zip | 48215-2162
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Country | US
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Telephone | 313-505-5462
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATIA FLEWELLYN
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Credential | LMT
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Telephone | 313-505-5462
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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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