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General NPI Number Information
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NPI Number | 1295699387
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Entity Type | Organization
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Legal Business Name | S & S SPA SALON INC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 280 12TH ST SW
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City | FOREST LAKE
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State | MN
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Zip | 55025-3778
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Country | US
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Telephone | 651-464-6612
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Fax |
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Provider Business Mailing Address
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Address Line | 280 12TH ST SW
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City | FOREST LAKE
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State | MN
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Zip | 55025-3778
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Country | US
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Telephone | 612-464-6612
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | AMBER KUNZ
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Credential | LMT
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Telephone | 651-464-6612
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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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