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General NPI Number Information
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NPI Number | 1366203671
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Entity Type | Organization
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Legal Business Name | BALSAM ROSE MASSAGE
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 5850 SAN FELIPE ST STE 500
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City | HOUSTON
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State | TX
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Zip | 77057-8003
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Country | US
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Telephone | 832-380-5357
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 BENDING TRAIL LN
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City | TOMBALL
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State | TX
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Zip | 77375-1870
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Country | US
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Telephone | 972-837-5260
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST / OWNER
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Name | MS. GUINIA ANNEL
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Credential | LMT
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Telephone | 972-837-5260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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