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General NPI Number Information
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NPI Number | 1578013553
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Entity Type | Organization
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Legal Business Name | HEALTH IN HANDS SPA LLC
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 622 VALLEY RD # 5H
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City | MONTCLAIR
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State | NJ
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Zip | 07043-1420
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Country | US
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Telephone | 201-701-1772
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Fax |
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Provider Business Mailing Address
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Address Line | 622 VALLEY RD # 5H
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City | MONTCLAIR
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State | NJ
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Zip | 07043-1420
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Country | US
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Telephone | 201-701-1771
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEYLA VALLADARES
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Credential |
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Telephone | 201-701-1772
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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 | 028546
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License Number State | NY
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