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General NPI Number Information
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NPI Number | 1265817399
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Entity Type | Organization
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Legal Business Name | CLAUDIA'S BODY & SKIN CARE CENTER CORP.
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 24309 SOUTHLAND DR
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City | HAYWARD
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State | CA
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Zip | 94545-1517
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Country | US
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Telephone | 510-786-2988
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Fax |
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Provider Business Mailing Address
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Address Line | 24309 SOUTHLAND DR
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City | HAYWARD
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State | CA
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Zip | 94545-1517
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Country | US
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Telephone | 510-786-2988
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | CLAUDIA DIB
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Credential |
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Telephone | 510-786-2988
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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 | 35531
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License Number State | CA
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