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General NPI Number Information
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NPI Number | 1497637268
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Entity Type | Organization
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Legal Business Name | KANGIE ENTERPRISE CORPORATION
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1520 BELLE VIEW BLVD # 5376
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City | ALEXANDRIA
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State | VA
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Zip | 22307-6530
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Country | US
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Telephone | 571-384-8713
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Fax |
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Provider Business Mailing Address
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Address Line | 4 PEDDLERS ROW # 65
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City | NEWARK
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State | DE
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Zip | 19702-1525
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Country | US
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Telephone | 571-384-8713
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MAXINE DENNIS
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Credential |
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Telephone | 571-384-8713
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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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