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General NPI Number Information
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NPI Number | 1518846559
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Entity Type | Organization
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Legal Business Name | KENNEDY ALLURE LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1130 E MISSOURI AVE STE 720
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City | PHOENIX
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State | AZ
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Zip | 85014-2717
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Country | US
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Telephone | 615-598-5118
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 N 16TH ST APT 431
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City | PHOENIX
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State | AZ
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Zip | 85016-4459
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Country | US
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Telephone | 480-848-4704
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PASHAN SUEING
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Credential |
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Telephone | 480-848-4704
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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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