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General NPI Number Information
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NPI Number | 1285594044
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Entity Type | Organization
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Legal Business Name | EMPOWERFUEL MASSAGE & WELLNESS LLC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 4357 FORT JACKSON BLVD
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City | COLUMBIA
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State | SC
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Zip | 29205-2145
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Country | US
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Telephone | 803-816-1163
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Fax |
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Provider Business Mailing Address
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Address Line | 105 LINDEVON LN UNIT A
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City | COLUMBIA
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State | SC
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Zip | 29223-6239
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Country | US
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Telephone | 803-599-0063
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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 | DAVID MAURICE GRIFFIN
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Credential | LMT, BCTMB
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Telephone | 803-816-1163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number |
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License Number State |
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Taxonomy #2
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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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