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General NPI Number Information
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NPI Number | 1689531022
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Entity Type | Organization
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Legal Business Name | LEAF & STONE SPA, LLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 6129 SCOTTSBORO HWY
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City | SCOTTSBORO
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State | AL
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Zip | 35769-9336
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Country | US
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Telephone | 256-860-0485
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Fax | 256-371-5631
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Provider Business Mailing Address
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Address Line | 6129 SCOTTSBORO HWY
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City | SCOTTSBORO
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State | AL
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Zip | 35769-9336
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Country | US
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Telephone | 256-860-0485
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Fax | 256-371-5631
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Authorized Official
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Title or Position | OWNER / LMT
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Name | MR. BOBBY WAYNE BRUCE JR.
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Credential | LMT / MMP
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Telephone | 256-860-0485
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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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