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General NPI Number Information
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NPI Number | 1427415504
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Entity Type | Organization
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Legal Business Name | TARRHEA'S TRANQUIL TOUCH,LLC
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 3479 NW 23RD ST
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-2602
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Country | US
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Telephone | 954-805-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 3479 NW 23RD ST
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-2602
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Country | US
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Telephone | 954-805-4800
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Fax |
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Authorized Official
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Title or Position | LICENSE MASSAGE THERAPIST
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Name | MS. TARRHEA MONEE HOLLINGSWORTH
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Credential | LMT
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Telephone | 954-805-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | MA43585
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License Number State | FL
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