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NPI 1235761800

NPI 1235761800 : TANGLES SALON AND DAY SPA, INC. : CARLISLE, PA

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General NPI Number Information
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    NPI Number           |    1235761800
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    Entity Type          |    Organization 
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    Legal Business Name  |    TANGLES SALON AND DAY SPA, INC. 
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Dates
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    Enumeration Date     |    02/11/2020
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    Last Update Date     |    03/05/2020
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Provider Practice Location Address
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    Address Line         |    242 YORK RD 
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    City                 |    CARLISLE
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    State                |    PA
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    Zip                  |    17013-3155
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    Country              |    US
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    Telephone            |    717-243-1122
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    242 YORK RD 
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    City                 |    CARLISLE
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    State                |    PA
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    Zip                  |    17013-3155
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    Country              |    US
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    Telephone            |    717-243-1122
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NATALIE RAE RYNARD 
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    Credential           |    
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    Telephone            |    717-243-1122
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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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