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General NPI Number Information
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NPI Number | 1427856020
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Entity Type | Organization
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Legal Business Name | MEDICAL MASSAGE AND WELLNESS CENTER
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 657 HITE RD
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City | HARWICK
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State | PA
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Zip | 15049-8946
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Country | US
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Telephone | 724-274-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 657 HITE RD
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City | HARWICK
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State | PA
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Zip | 15049-8946
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Country | US
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Telephone | 724-274-3211
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | DIANNA CRAWFORD
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Credential |
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Telephone | 720-440-0036
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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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