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General NPI Number Information
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NPI Number | 1578366522
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Entity Type | Organization
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Legal Business Name | PALOMA WELLNESS LLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1197 W 5TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43212-2530
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Country | US
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Telephone | 614-929-5434
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Fax |
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Provider Business Mailing Address
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Address Line | 439 THURMAN AVE
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City | COLUMBUS
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State | OH
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Zip | 43206-3556
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Country | US
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Telephone | 214-883-3737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA GANN
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Credential |
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Telephone | 214-883-3737
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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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