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General NPI Number Information
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NPI Number | 1346544517
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Entity Type | Organization
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Legal Business Name | MASSAGE PARADISES INC
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 17150 EUCLID ST STE. 316
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4092
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Country | US
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Telephone | 714-979-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 17150 EUCLID STREET STE. 316
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-979-9800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANNY DANG
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Credential |
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Telephone | 714-979-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC25261
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License Number State | CA
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