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General NPI Number Information
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NPI Number | 1417462920
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Entity Type | Organization
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Legal Business Name | GLOBAL HEART HEALING AND MASSAGE
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 11 TOMPKINS ST STE 17
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City | CORTLAND
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State | NY
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Zip | 13045-2563
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Country | US
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Telephone | 607-727-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 11 TOMPKINS ST STE 17
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City | CORTLAND
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State | NY
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Zip | 13045-2563
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Country | US
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Telephone | 607-727-8100
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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 | JESSICA RENE CRAWFORD
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Credential | LMT
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Telephone | 607-727-8100
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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 | 27026924
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License Number State | NY
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