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General NPI Number Information
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NPI Number | 1548067580
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Entity Type | Organization
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Legal Business Name | ABBY'S MASSAGE STUDIO, LLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 331 E 87TH AVE STE 100A
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City | ANCHORAGE
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State | AK
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Zip | 99515-1935
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Country | US
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Telephone | 907-987-4978
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Fax |
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Provider Business Mailing Address
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Address Line | 331 E 87TH AVE STE 100A
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City | ANCHORAGE
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State | AK
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Zip | 99515-1935
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Country | US
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Telephone | 907-987-4978
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER/MASSAGE THERAPIST
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Name | ABBY LEA KUSTER
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Credential | LMT
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Telephone | 907-987-4978
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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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