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General NPI Number Information
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NPI Number | 1184508228
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Entity Type | Organization
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Legal Business Name | TRIANGLE THAI SPA
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 1616 EVANS RD STE 205
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City | CARY
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State | NC
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Zip | 27513-9653
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Country | US
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Telephone | 626-341-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 2811 KENTSHIRE PL
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City | APEX
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State | NC
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Zip | 27523-6254
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Country | US
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Telephone | 626-341-3737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YI THOMPSON
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Credential |
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Telephone | 626-341-3737
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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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