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General NPI Number Information
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NPI Number | 1497029334
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Entity Type | Organization
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Legal Business Name | ESSENTIAL TOUCH, INC
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 02/23/2012
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Provider Practice Location Address
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Address Line | 10405 LIGON MILL RD STE B
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City | WAKE FOREST
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State | NC
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Zip | 27587-5013
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Country | US
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Telephone | 919-971-6785
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 DEER LAKE TRL
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City | WAKE FOREST
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State | NC
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Zip | 27587-8845
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Country | US
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Telephone | 919-971-6785
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. MARTHA E. RICHARDSON
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Credential | L.M.B.T.
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Telephone | 919-971-6785
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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 | 3939
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License Number State | NC
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