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General NPI Number Information
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NPI Number | 1417836545
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Entity Type | Organization
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Legal Business Name | AMANI KOMFORT LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2121 CORPORATE SQUARE BLVD STE 117
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1977
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Country | US
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Telephone | 904-510-8060
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Fax |
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Provider Business Mailing Address
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Address Line | 344 W 61ST ST
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City | JACKSONVILLE
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State | FL
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Zip | 32208-3902
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Country | US
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Telephone | 904-729-7924
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Fax |
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | KEYADA LAURAY
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Credential | DO
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Telephone | 904-729-7924
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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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