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General NPI Number Information
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NPI Number | 1346814324
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Entity Type | Organization
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Legal Business Name | TOTALLY YOU SPA INC
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 310 E SHORE RD STE 301
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City | GREAT NECK
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State | NY
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Zip | 11023-2432
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Country | US
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Telephone | 212-301-7619
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 222059
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City | GREAT NECK
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State | NY
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Zip | 11022-2059
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Country | US
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Telephone | 212-301-7619
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAYON S PINNOCK
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Credential | LMT
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Telephone | 212-301-7619
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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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