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General NPI Number Information
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NPI Number | 1427688225
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Entity Type | Organization
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Legal Business Name | SASIGHAN SPA INC
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Dates
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Enumeration Date | 01/21/2020
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 767 LEXINGTON AVE RM 304
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City | NEW YORK
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State | NY
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Zip | 10065-8553
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Country | US
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Telephone | 212-759-6618
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Fax |
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Provider Business Mailing Address
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Address Line | 767 LEXINGTON AVE RM 304
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City | NEW YORK
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State | NY
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Zip | 10065-8553
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Country | US
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Telephone | 212-759-6618
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SASIGHAN PRASERTSRI
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Credential |
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Telephone | 212-759-6618
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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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