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General NPI Number Information
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NPI Number | 1437849882
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Entity Type | Individual
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Provider Name | HAN BI MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 4050 ROCHESTER RD # B
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City | TROY
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State | MI
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Zip | 48085-4923
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Country | US
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Telephone | 248-532-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 21344 BEACONSFIELD ST UNIT 3
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1674
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Country | US
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Telephone | 929-666-8224
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 7501011185
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License Number State | MI
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