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NPI 1295622041

NPI 1295622041 : HEALING EXPRERIENCE : WEST NYACK, NY

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General NPI Number Information
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    NPI Number           |    1295622041
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALING EXPRERIENCE 
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Dates
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    Enumeration Date     |    06/23/2025
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    Last Update Date     |    06/23/2025
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Provider Practice Location Address
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    Address Line         |    2 MEDICAL PARK DR STE 7 
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    City                 |    WEST NYACK
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    State                |    NY
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    Zip                  |    10994-1966
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    Country              |    US
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    Telephone            |    917-396-8513
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 MEDICAL PARK DR STE 7 
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    City                 |    WEST NYACK
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    State                |    NY
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    Zip                  |    10994-1966
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    Country              |    US
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    Telephone            |    917-396-8513
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PROVIDER
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    Name                 |     TERESA  PEREZ 
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    Credential           |    
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    Telephone            |    917-396-8513
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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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