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General NPI Number Information
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NPI Number | 1467293886
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Entity Type | Organization
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Legal Business Name | AMANI BY G LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 909 W HENDERSON ST
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City | CLEBURNE
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State | TX
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Zip | 76033-4835
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Country | US
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Telephone | 469-629-9225
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 156
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City | GRANDVIEW
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State | TX
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Zip | 76050-0156
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Country | US
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Telephone | 469-629-9225
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Fax |
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Authorized Official
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Title or Position | OWNER/MT
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Name | GEORGINA HOLZMEIER
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Credential |
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Telephone | 469-629-9225
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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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