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General NPI Number Information
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NPI Number | 1619355922
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Entity Type | Organization
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Legal Business Name | HEALING HANDS MASSAGES
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 2581 WESTMINSTER AVE
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City | NORFOLK
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State | VA
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Zip | 23504
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Country | US
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Telephone | 757-714-0796
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Fax |
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Provider Business Mailing Address
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Address Line | 2581 WESTMINSTER AVE
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City | NORFOLK
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State | VA
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Zip | 23504-4558
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Country | US
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Telephone | 757-714-0796
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LAKEYSHA J AMONSMILES
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Credential |
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Telephone | 757-714-0796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 0019011604
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License Number State | VA
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