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General NPI Number Information
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NPI Number | 1497492219
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Entity Type | Organization
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Legal Business Name | LAVENDER LOTUS REIKI CENTTER FOR NATURAL HEALINGS
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 832 CHESTNUT ST STE 102
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City | CONWAY
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State | AR
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Zip | 72032-5434
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Country | US
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Telephone | 607-760-9608
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Fax |
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Provider Business Mailing Address
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Address Line | 832 CHESTNUT ST STE 102
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City | CONWAY
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State | AR
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Zip | 72032-5434
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Country | US
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Telephone | 607-760-9608
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Fax |
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Authorized Official
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Title or Position | REIKI MASTER
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Name | ARLINDA BLACKWELL-EL
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Credential | CERTIFIED
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Telephone | 607-760-9608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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License Number |
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License Number State |
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