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General NPI Number Information
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NPI Number | 1194210591
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Entity Type | Organization
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Legal Business Name | MASSAGE BLISS LLC
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 505 W HOLLIS ST STE 206A
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City | NASHUA
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State | NH
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Zip | 03062-1389
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Country | US
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Telephone | 603-321-2480
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Fax |
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Provider Business Mailing Address
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Address Line | 505 W.HOLLIS STREET THE VILLAGE/UNIT 206A
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City | NASHUA
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State | NH
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Zip | 03062
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Country | US
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Telephone | 603-321-2480
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MS. SARAH ELIZABETH RAND
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Credential | LMT
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Telephone | 603-321-2480
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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 | 3230
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License Number State | NH
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