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General NPI Number Information
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NPI Number | 1205025889
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Entity Type | Organization
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Legal Business Name | FACES AND BEYOND INC
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 2306 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33062-5212
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Country | US
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Telephone | 954-783-2220
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Fax | 954-783-3379
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Provider Business Mailing Address
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Address Line | 2306 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33062-5212
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Country | US
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Telephone | 954-783-2220
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Fax | 954-783-3379
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ANN SHAPIRO
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Credential |
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Telephone | 954-783-2220
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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 | MM17747
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License Number State | FL
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