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General NPI Number Information
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NPI Number | 1427553726
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Entity Type | Organization
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Legal Business Name | IMPROVED HEALTH THERAPEUTIC MASSAGE
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 5009 EXCELSIOR BLVD STE 141
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-3035
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Country | US
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Telephone | 952-255-9399
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Fax |
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Provider Business Mailing Address
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Address Line | 5009 EXCELSIOR BLVD STE 141
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-3035
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Country | US
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Telephone | 952-255-9399
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST/OWNER
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Name | DANICA KRIZIC
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Credential | MASSAGE THERAPIST
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Telephone | 952-255-9399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 00042881
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License Number State | MN
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