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General NPI Number Information
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NPI Number | 1467752741
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Entity Type | Organization
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Legal Business Name | HOPE WITHIN MASSAGE CENTER
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 308 W 36TH ST STE 125
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City | HAZLE TOWNSHIP
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State | PA
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Zip | 18202-2803
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Country | US
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Telephone | 570-497-4766
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Fax | 570-245-3899
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Provider Business Mailing Address
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Address Line | 308 W 36TH ST STE 125
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City | HAZLE TOWNSHIP
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State | PA
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Zip | 18202-2803
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Country | US
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Telephone | 570-497-4766
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Fax | 570-245-3899
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. LEA R.M. THIBEAULT
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Credential | PMT
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Telephone | 570-497-4766
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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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