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General NPI Number Information
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NPI Number | 1598676652
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Entity Type | Organization
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Legal Business Name | SANFORD THERAPEUTIC MASSAGE & BODYWORK, LLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 321 COURT SQ STE A
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City | SANFORD
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State | NC
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Zip | 27330-5677
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Country | US
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Telephone | 919-777-4940
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Fax |
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Provider Business Mailing Address
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Address Line | 5139 CARBONTON RD
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City | SANFORD
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State | NC
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Zip | 27330-6352
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Country | US
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Telephone | 919-353-0144
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED MASSAGE THERAPIST
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Name | ALISIA R TRIPP
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Credential | LMBT
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Telephone | 919-353-0144
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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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