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General NPI Number Information
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NPI Number | 1669111472
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Entity Type | Organization
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Legal Business Name | R&R MASSAGE THERAPY AND BODYWORK
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 1119 5TH ST NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55413-3027
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Country | US
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Telephone | 763-516-6435
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Fax |
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Provider Business Mailing Address
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Address Line | 2617 EMERSON AVE S APT D
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-1225
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Country | US
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Telephone | 763-516-6435
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LINDEY ERIN NOTT
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Credential | CMT
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Telephone | 763-516-6435
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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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