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General NPI Number Information
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NPI Number | 1255291886
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Entity Type | Organization
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Legal Business Name | MASSAGE SPARADISE INC.
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Dates
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Enumeration Date | 11/15/2025
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Last Update Date | 11/15/2025
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Provider Practice Location Address
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Address Line | 4180 WOODRUFF AVE STE 2
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City | LAKEWOOD
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State | CA
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Zip | 90713-3145
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Country | US
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Telephone | 562-420-2590
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Fax |
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Provider Business Mailing Address
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Address Line | 4180 WOODRUFF AVE STE 2
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City | LAKEWOOD
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State | CA
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Zip | 90713-3145
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Country | US
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Telephone | 562-420-2590
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | BING SU
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Credential |
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Telephone | 626-231-9331
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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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