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General NPI Number Information
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NPI Number | 1285488155
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Entity Type | Organization
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Legal Business Name | BEAUTY & WELLNESS LLC
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 25127 W TARA PLANTATION DR
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City | TOMBALL
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State | TX
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Zip | 77375-1619
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Country | US
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Telephone | 773-971-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 25127 W TARA PLANTATION DR
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City | TOMBALL
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State | TX
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Zip | 77375-1619
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Country | US
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Telephone | 773-971-4114
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Fax |
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Authorized Official
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Title or Position | OWNER / MASSAGE THERAPIST
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Name | MS. OLENA V OLEKSYUK
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Credential |
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Telephone | 773-971-4114
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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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