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General NPI Number Information
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NPI Number | 1538959077
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Entity Type | Organization
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Legal Business Name | DEEP THERAPY LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2550 BELLE CHASSE HWY STE 250A
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City | GRETNA
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State | LA
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Zip | 70053-6733
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Country | US
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Telephone | 504-344-0836
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Fax |
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Provider Business Mailing Address
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Address Line | 2649 HIGHLAND DR W
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City | GRETNA
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State | LA
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Zip | 70056-7746
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Country | US
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Telephone | 504-344-0836
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Fax |
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Authorized Official
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Title or Position | THERAPIST/ORGANIZER
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Name | ANAS HINDI
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Credential | LMT
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Telephone | 504-334-0836
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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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