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General NPI Number Information
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NPI Number | 1649156019
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Entity Type | Organization
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Legal Business Name | MASSAGE REMEDIAL CARE
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 3950 HARDWICK ST STE 206
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City | LAKEWOOD
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State | CA
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Zip | 90712-2347
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Country | US
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Telephone | 562-708-0039
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Fax |
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Provider Business Mailing Address
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Address Line | 3950 HARDWICK ST STE 206
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City | LAKEWOOD
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State | CA
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Zip | 90712-2347
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Country | US
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Telephone | 562-708-0039
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DENEB ROMERO
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Credential | MASSAGE THERAPIST
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Telephone | 562-708-0039
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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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