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General NPI Number Information
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NPI Number | 1356874911
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Entity Type | Organization
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Legal Business Name | VIBE STUDIOS
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 2500 BRUNSWICK PIKE SUITE 200
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4134
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Country | US
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Telephone | 609-403-6560
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 BRUNSWICK PIKE SUITE 200
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4134
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Country | US
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Telephone | 609-403-6560
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Fax |
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Authorized Official
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Title or Position | LEAD MASSAGE THERAPIST
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Name | VALERIE R MILLET
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Credential | LMT
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Telephone | 609-403-6560
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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 | 18KT00751600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 18KT00814700
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License Number State | NJ
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