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General NPI Number Information
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NPI Number | 1336003854
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Entity Type | Organization
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Legal Business Name | A MOMENT AWAY LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 61 CURTISS ST
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City | SOUTHINGTON
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State | CT
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Zip | 06489-1703
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Country | US
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Telephone | 860-426-9122
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Fax |
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Provider Business Mailing Address
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Address Line | 950 S END RD
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City | SOUTHINGTON
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State | CT
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Zip | 06489-4144
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Country | US
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Telephone | 860-335-8206
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSEY DELLAVECCHIA
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Credential | LMT
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Telephone | 860-335-8206
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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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