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General NPI Number Information
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NPI Number | 1164947412
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Entity Type | Organization
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Legal Business Name | ALL ABOUT MASSAGE AND WELLNESS, LLC
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 08/08/2017
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Provider Practice Location Address
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Address Line | 1112 S. BRADDOCK AVENUE SUITE 301D
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City | PITTSBURGH
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State | PA
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Zip | 15218
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Country | US
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Telephone | 412-420-7183
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Fax | 412-731-4836
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Provider Business Mailing Address
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Address Line | 501 VALLEYBROOK ROAD SUITE 206
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City | MCMURRAY
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State | PA
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Zip | 15317-3428
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Country | US
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Telephone | 412-420-7183
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Fax | 412-731-4836
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA LYNNE HOWORTH KROB
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Credential | LCSW
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Telephone | 724-941-8835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | CW012703
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License Number State | PA
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