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General NPI Number Information
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NPI Number | 1295261477
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Entity Type | Organization
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Legal Business Name | FABRIC SPA, LLC
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Dates
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Enumeration Date | 05/05/2017
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 728 S 4TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-3120
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Country | US
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Telephone | 215-922-3235
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Fax |
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Provider Business Mailing Address
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Address Line | 728 S 4TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-3120
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Country | US
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Telephone | 215-922-3235
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. GABRIELLE MELISSA APPLEBAUM
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Credential | L.AC.,M.AC.,DIPL.AC.
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Telephone | 215-922-3235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AK001210
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AK000670
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG008665
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG004229
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG007572
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG011032
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AK001056
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License Number State | PA
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