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General NPI Number Information
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NPI Number | 1578919627
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Entity Type | Organization
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Legal Business Name | HELP YOURSELF MASSAGE STUDIO
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 119 N CONGRESS ST
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City | WINNSBORO
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State | SC
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Zip | 29180-1118
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Country | US
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Telephone | 803-712-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 212 CHATHAM CIR
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City | WINNSBORO
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State | SC
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Zip | 29180-2607
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/LMT
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Name | MELISA RUSSELL
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Credential | LMT
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Telephone | 803-712-3322
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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 | 6267
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License Number State | SC
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