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General NPI Number Information
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NPI Number | 1396503728
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Entity Type | Organization
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Legal Business Name | VERVEBODY LLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 8133 MESA DR STE 101
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City | AUSTIN
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State | TX
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Zip | 78759-8655
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Country | US
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Telephone | 512-784-7117
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Fax |
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Provider Business Mailing Address
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Address Line | 10221 BROOMFLOWER DR
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City | AUSTIN
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State | TX
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Zip | 78739-1447
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Country | US
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Telephone | 512-784-7117
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | COURTNEY LEPORE
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Credential | LMT, CMLDT
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Telephone | 512-784-7117
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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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