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General NPI Number Information
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NPI Number | 1316865553
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Entity Type | Organization
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Legal Business Name | KEYNOTE MASSAGE LLC
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 20 BELL ROCK PLZ STE E
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City | SEDONA
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State | AZ
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Zip | 86351-9043
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Country | US
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Telephone | 928-554-5094
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Fax |
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Provider Business Mailing Address
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Address Line | 4955 E SOMERSET DR
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City | CORNVILLE
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State | AZ
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Zip | 86325-5327
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Country | US
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Telephone | 928-554-5094
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED MASSAGE THERAPIST
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Name | AMY BONGIORNO
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Credential | LMT
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Telephone | 928-554-5094
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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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