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NPI 1548983653

NPI 1548983653 : NATURALIFE HEALING THERAPIES, LLC : FLORAL PARK, NY

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General NPI Number Information
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    NPI Number           |    1548983653
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    Entity Type          |    Organization 
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    Legal Business Name  |    NATURALIFE HEALING THERAPIES, LLC 
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Dates
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    Enumeration Date     |    09/22/2022
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    Last Update Date     |    01/03/2023
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Provider Practice Location Address
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    Address Line         |    249-12 JERICHO TURNPIKE SUITE 205
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    City                 |    FLORAL PARK
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    State                |    NY
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    Zip                  |    11001-4033
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    Country              |    US
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    Telephone            |    929-357-7957
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    21622 121ST AVENUE, 11411 2ND FLOOR
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    City                 |    CAMBRIA HEIGHTS
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    State                |    NY
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    Zip                  |    11411-1932
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    Country              |    US
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    Telephone            |    929-253-9158
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. EDWARD E. BAPTISTE JR.
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    Credential           |    LMT
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    Telephone            |    929-253-9158
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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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