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General NPI Number Information
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NPI Number | 1245973973
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND SPA
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 3907 HUSSEY RD
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City | GREENWOOD
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State | FL
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Zip | 32443-2117
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Country | US
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Telephone | 256-394-0911
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Fax |
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Provider Business Mailing Address
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Address Line | 3907 HUSSEY RD
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City | GREENWOOD
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State | FL
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Zip | 32443-2117
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Country | US
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Telephone | 256-394-0911
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Fax |
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Authorized Official
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Title or Position | LMT/OWNER
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Name | MS. CAROL L MCGEE
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Credential | LMT
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Telephone | 256-394-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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