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General NPI Number Information
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NPI Number | 1295630333
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Entity Type | Organization
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Legal Business Name | MASSAGE2ME
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 9625 OLD MILL RD
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City | NAVASSA
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State | NC
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Zip | 28451-8381
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Country | US
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Telephone | 213-563-9584
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Fax |
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Provider Business Mailing Address
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Address Line | 3736 OLD MACO RD NE
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City | LELAND
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State | NC
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Zip | 28451-8849
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Country | US
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Telephone | 213-563-9584
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH MAURICE MCCLARY JR.
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Credential |
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Telephone | 213-563-9584
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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 | NULL
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