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General NPI Number Information
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NPI Number | 1427833359
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Entity Type | Organization
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Legal Business Name | HEAD2TOE BODYWORK AND SKIN CARE, LLC.
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 05/19/2024
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Provider Practice Location Address
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Address Line | 8303 PULASKI HWY STE A
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City | ROSEDALE
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State | MD
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Zip | 21237-2962
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Country | US
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Telephone | 667-201-3440
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Fax | 443-505-8163
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Provider Business Mailing Address
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Address Line | 8303 PULASKI HWY STE A
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City | ROSEDALE
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State | MD
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Zip | 21237-2962
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Country | US
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Telephone | 667-201-3440
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Fax | 443-505-8163
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Authorized Official
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Title or Position | OWNER/LICENSED MASSAGE THERAPIST
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Name | MRS. MEGAN ELIZABETH CARMON
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Credential | LMT
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Telephone | 443-845-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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