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General NPI Number Information
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NPI Number | 1588812747
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Entity Type | Organization
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Legal Business Name | MASSAGES AROUND THE WORLD INC.
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Dates
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Enumeration Date | 08/29/2008
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 19 DEL PRADO BLVD N SUITE 101
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City | CAPE CORAL
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State | FL
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Zip | 33909-6307
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Country | US
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Telephone | 239-242-8004
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Fax | 239-242-8003
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Provider Business Mailing Address
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Address Line | 19 DEL PRADO BLVD N SUITE 101
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City | CAPE CORAL
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State | FL
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Zip | 33909-6307
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Country | US
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Telephone | 239-242-8004
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Fax | 239-242-8003
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MRS. PAMELLA A HICKS
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Credential | LMT
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Telephone | 239-898-9428
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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 | MA47163
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License Number State | FL
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