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General NPI Number Information
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NPI Number | 1295225134
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Entity Type | Organization
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Legal Business Name | FACILITATED HEALING CTR LLC
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 350 HANCOCK ST
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City | QUINCY
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State | MA
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Zip | 02171-2439
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Country | US
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Telephone | 857-234-4533
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Fax |
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Provider Business Mailing Address
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Address Line | 555 BROAD ST STE C
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City | EAST WEYMOUTH
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State | MA
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Zip | 02189-1301
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Country | US
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Telephone | 857-234-4533
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAURA E ZIEGLER
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Credential | MT
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Telephone | 857-234-4533
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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 | 10240
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License Number State | MA
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