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General NPI Number Information
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NPI Number | 1578006227
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Entity Type | Organization
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Legal Business Name | MY MASSAGE THERAPIST
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 3880 GREENHOUSE RD SUITE 203
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City | HOUSTON
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State | TX
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Zip | 77084-6792
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Country | US
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Telephone | 832-755-7822
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Fax |
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Provider Business Mailing Address
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Address Line | 18518 ANDALUSIAN DR
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City | CYPRESS
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State | TX
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Zip | 77433-1152
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Country | US
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Telephone | 832-755-7822
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SHERRI IRELAND ARMAS
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Credential | LMT LMTI
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Telephone | 832-755-7822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | MTO38333
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License Number State | TX
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