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General NPI Number Information
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NPI Number | 1528411360
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Entity Type | Organization
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Legal Business Name | HILIAN MASSAGE & HEALTH SOLUTIONS
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Dates
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Enumeration Date | 07/17/2016
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Last Update Date | 07/17/2016
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Provider Practice Location Address
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Address Line | 5000 AUSTELL POWDER SPRINGS RD SUITE 222
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City | AUSTELL
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State | GA
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Zip | 30106-2427
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Country | US
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Telephone | 678-310-4703
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 AUSTELL POWDER SPRINGS RD SUITE 222
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City | AUSTELL
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State | GA
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Zip | 30106-2427
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Country | US
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Telephone | 678-310-4703
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | MR. ANGELO LEANDER ADDERLEY
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Credential | L.M.T
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Telephone | 678-310-4703
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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 | MT010951
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License Number State | GA
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