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General NPI Number Information
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NPI Number | 1558996405
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Entity Type | Organization
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Legal Business Name | I ADORE HER BODY SPA LLC
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 827 E PARHAM RD
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City | RICHMOND
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State | VA
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Zip | 23227-1126
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Country | US
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Telephone | 804-433-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 3817 GOODELL RD
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City | RICHMOND
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State | VA
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Zip | 23223-1241
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Country | US
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Telephone | 804-433-6333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS AMEERAH MINTON
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Credential |
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Telephone | 804-433-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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