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General NPI Number Information
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NPI Number | 1376943712
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Entity Type | Organization
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Legal Business Name | LANG MASSAGE SERVICES
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 33 SOUTH DELAWARE AVE.SUITE #201
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City | YARDLEY
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State | PA
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Zip | 19067
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Country | US
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Telephone | 484-686-4108
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Fax |
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Provider Business Mailing Address
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Address Line | 507 FAIRHILL DR
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City | CHURCHVILLE
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State | PA
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Zip | 18966-1447
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Country | US
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Telephone | 484-686-4108
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED MASSAGE THERAPIST
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Name | MARIANNE MELINO
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Credential | LMT
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Telephone | 484-686-4108
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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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