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General NPI Number Information
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NPI Number | 1235935289
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Entity Type | Organization
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Legal Business Name | RELAX RENEW MASSAGE THERAPY P.C.
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 537 BEDFORD AVE
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City | BELLMORE
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State | NY
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Zip | 11710-3544
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Country | US
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Telephone | 516-515-8625
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Fax |
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Provider Business Mailing Address
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Address Line | 24 TREDWELL AVE
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City | LYNBROOK
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State | NY
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Zip | 11563-3428
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Country | US
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Telephone | 516-984-2600
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Fax |
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Authorized Official
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Title or Position | OWNER/LMT
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Name | MS. PATRICIA BREGEL
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Credential |
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Telephone | 516-515-8625
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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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