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General NPI Number Information
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NPI Number | 1457735417
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Entity Type | Organization
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Legal Business Name | HELPING HANDS MASSAGE THERAPY, LLC
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 07/18/2015
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Provider Practice Location Address
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Address Line | 3195 DAYTON XENIA RD
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City | BEAVERCREEK
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State | OH
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Zip | 45434-6390
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Country | US
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Telephone | 937-401-8501
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 102
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City | SOUTH LEBANON
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State | OH
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Zip | 45065-0102
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Country | US
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Telephone | 937-414-3397
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DARRICK ZUCCO
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Credential |
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Telephone | 937-414-3397
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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 | OH
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