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General NPI Number Information
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NPI Number | 1235599366
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Entity Type | Organization
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Legal Business Name | JOANNS HUMBLE HANDS
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 11719-B JEFFERSON AVE STE 106
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-2166
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Country | US
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Telephone | 757-591-0125
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Fax |
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Provider Business Mailing Address
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Address Line | 100 LARK CIR
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-2258
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Country | US
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Telephone | 757-591-0125
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOANN P KNIGHT
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Credential | BCTMB,CMMP,CPMT
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Telephone | 757-591-0125
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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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