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General NPI Number Information
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NPI Number | 1588520902
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Entity Type | Organization
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Legal Business Name | MAKALI HEALING ARTS, LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 714 WEST AVE
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City | JENKINTOWN
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State | PA
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Zip | 19046-3035
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Country | US
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Telephone | 267-224-9227
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Fax |
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Provider Business Mailing Address
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Address Line | 707 KENILWORTH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19126-3716
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Country | US
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Telephone | 443-204-9802
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Fax |
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Authorized Official
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Title or Position | OWNER / PRACTITIONER
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Name | MS. MARQUITA K GREEN
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Credential | LMT, RM
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Telephone | 215-444-5777
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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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