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General NPI Number Information
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NPI Number | 1265099246
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Entity Type | Organization
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Legal Business Name | ROSLYNN'S HEALING TOUCH LLC
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 2702 W PARK ROW DR
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City | PANTEGO
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State | TX
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Zip | 76013-2258
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Country | US
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Telephone | 469-844-1996
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Fax |
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Provider Business Mailing Address
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Address Line | 5752 FURSMAN AVE
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City | FORT WORTH
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State | TX
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Zip | 76114-4410
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Country | US
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Telephone | 817-730-1108
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED MASSAGE THERAPIST
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Name | ROSLYNN WILLIAMS
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Credential |
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Telephone | 469-844-1996
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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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