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General NPI Number Information
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NPI Number | 1578445615
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Entity Type | Organization
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Legal Business Name | MASSAGE SSERENITY
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 1525 MESA VERDE DR E
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City | COSTA MESA
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State | CA
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Zip | 92626-5218
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Country | US
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Telephone | 714-392-6944
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Fax |
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Provider Business Mailing Address
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Address Line | 17111 GOLDENWEST ST APT D1
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-5401
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Country | US
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Telephone | 714-392-6944
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Fax |
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Authorized Official
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Title or Position | MASAGE THERAPY
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Name | JULIANA LOZANO
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Credential | MASSAGE THERAPIST
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Telephone | 714-392-6944
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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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