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General NPI Number Information
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NPI Number | 1386560035
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Entity Type | Organization
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Legal Business Name | MASSAGE BY AMARA LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 6123 RUBBLE RD
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City | SEFFNER
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State | FL
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Zip | 33584-3128
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Country | US
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Telephone | 813-451-1016
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 S KINGSWAY RD UNIT 9
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City | SEFFNER
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State | FL
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Zip | 33583-8002
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Country | US
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Telephone | 813-451-1016
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | AMARA R STASKO
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Credential | LMT
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Telephone | 813-846-1886
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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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