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General NPI Number Information
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NPI Number | 1194612259
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Entity Type | Organization
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Legal Business Name | TLC THERAPEUTIC HEALING LLC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 3100 CLEARY AVE STE 5
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City | METAIRIE
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State | LA
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Zip | 70002-5749
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Country | US
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Telephone | 504-654-0461
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 CLEARY AVE STE 5
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City | METAIRIE
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State | LA
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Zip | 70002-5749
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Country | US
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Telephone | 504-654-0461
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | TAMLA LYNITRA CONALER
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Credential |
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Telephone | 504-654-0461
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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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