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NPI 1508513219

NPI 1508513219 : THE MASSAGE APPROACH : COMMACK, NY

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General NPI Number Information
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    NPI Number           |    1508513219
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE MASSAGE APPROACH 
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Dates
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    Enumeration Date     |    03/03/2022
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    Last Update Date     |    03/03/2022
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Provider Practice Location Address
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    Address Line         |    340 VETERANS MEMORIAL HWY STE 10 
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    City                 |    COMMACK
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    State                |    NY
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    Zip                  |    11725-4300
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    Country              |    US
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    Telephone            |    631-776-3019
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    Fax                  |    516-776-3018
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Provider Business Mailing Address
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    Address Line         |    340 VETERANS MEMORIAL HWY STE 10 
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    City                 |    COMMACK
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    State                |    NY
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    Zip                  |    11725-4300
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    Country              |    US
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    Telephone            |    631-776-3019
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    Fax                  |    516-776-3018
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. DIANA LOUISE MASLAUSKAS 
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    Credential           |    LMT, CH
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    Telephone            |    631-776-3019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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