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General NPI Number Information
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NPI Number | 1467857409
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Entity Type | Organization
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Legal Business Name | BODY SIENSE
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 410 CANAL PL
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City | LITTLE FALLS
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State | NY
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Zip | 13365-2026
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Country | US
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Telephone | 315-985-8556
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Fax |
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Provider Business Mailing Address
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Address Line | 410 CANAL PL
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City | LITTLE FALLS
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State | NY
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Zip | 13365-2026
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Country | US
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Telephone | 315-985-8556
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | ROBIN DIRIENZO
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Credential |
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Telephone | 315-985-8556
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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 | 024821
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License Number State | NY
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