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General NPI Number Information
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NPI Number | 1487558045
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Entity Type | Organization
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Legal Business Name | LIDIA'S SKIN AND BODY CARE LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 1550 WILSON BLVD OFC 52
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City | ARLINGTON
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State | VA
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Zip | 22209-2464
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Country | US
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Telephone | 201-757-3198
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 N MEADE ST
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City | ARLINGTON
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State | VA
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Zip | 22209-3703
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Country | US
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Telephone | 201-757-3198
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LIDIA CICERELLO
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Credential |
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Telephone | 201-757-3198
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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 | NULL
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