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General NPI Number Information
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NPI Number | 1669335949
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Entity Type | Organization
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Legal Business Name | LOVE, LOLA THERAPEUTIC MASSAGE LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 9730 HARRIET AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32208-1528
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Country | US
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Telephone | 904-238-8283
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Fax |
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Provider Business Mailing Address
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Address Line | 9730 HARRIET AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32208-1528
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Country | US
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Telephone | 904-238-8283
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LAUREN BROWN
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Credential | RRT
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Telephone | 904-238-8283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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