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General NPI Number Information
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NPI Number | 1285372706
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC TOUCH MASSAGE, NJ
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 600 S LIVINGSTON AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5419
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Country | US
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Telephone | 862-220-9662
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Fax | 973-447-8962
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Provider Business Mailing Address
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Address Line | 261 BERKELEY AVE
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-4903
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Country | US
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Telephone | 862-220-9662
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Fax | 973-447-8962
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA LEIGH VARGAS
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Credential | LMT
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Telephone | 862-220-9662
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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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