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General NPI Number Information
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NPI Number | 1235827981
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Entity Type | Organization
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Legal Business Name | JANDLBEAUTYLLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 2213 W LINCOLN ST
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City | HARLINGEN
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State | TX
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Zip | 78552-5921
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Country | US
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Telephone | 956-495-0402
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Fax |
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Provider Business Mailing Address
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Address Line | 2213 W LINCOLN ST
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City | HARLINGEN
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State | TX
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Zip | 78552-5921
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Country | US
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Telephone | 210-995-3369
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA PAULETTE TATE SZYMONIAK-HAGINS
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Credential |
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Telephone | 210-995-3369
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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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