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General NPI Number Information
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NPI Number | 1609152412
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Entity Type | Organization
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Legal Business Name | EMJOY MASSAGE THERAPY LLC
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 100 CEMETERY RD
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City | MILFORD
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State | OH
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Zip | 45150-5708
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Country | US
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Telephone | 513-238-1165
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CEMETERY RD
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City | MILFORD
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State | OH
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Zip | 45150-5708
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Country | US
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Telephone | 513-238-1165
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/MEMBER
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Name | JOYCE KINMAN
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Credential | LMT
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Telephone | 513-238-1165
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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 | 33.019531
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33.019512
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33.019962
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33.019509
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License Number State | OH
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