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General NPI Number Information
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NPI Number | 1205711363
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Entity Type | Organization
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Legal Business Name | MANTRA WELLNESS, LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 8127 MESA DR STE C304
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City | AUSTIN
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State | TX
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Zip | 78759-8632
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Country | US
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Telephone | 512-960-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 5904 IVY HILLS DR
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City | AUSTIN
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State | TX
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Zip | 78759-5521
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Country | US
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Telephone | 512-965-9716
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REENA KAVEN
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Credential | JD, LMT
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Telephone | 512-965-9716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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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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