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General NPI Number Information
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NPI Number | 1235793720
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Entity Type | Organization
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Legal Business Name | CARDIOYOGA LLC
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 521 S LIVINGSTON AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4327
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Country | US
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Telephone | 908-358-2586
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CURTIS AVE
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City | WEST ORANGE
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State | NJ
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Zip | 07052-2306
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Country | US
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Telephone | 908-358-2586
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Fax |
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Authorized Official
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Title or Position | OWNER/MASSAGE THERAPIST
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Name | CHELSEA ALBAN
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Credential | MT
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Telephone | 908-358-2586
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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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