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General NPI Number Information
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NPI Number | 1699096883
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Entity Type | Organization
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Legal Business Name | THERAPIE, LLC
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 6819 W TROPICANA AVE #200
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City | LAS VEGAS
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State | NV
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Zip | 89103-4928
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Country | US
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Telephone | 702-202-1400
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Fax | 702-202-1414
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Provider Business Mailing Address
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Address Line | 6819 W TROPICANA AVE #200
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City | LAS VEGAS
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State | NV
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Zip | 89103-4928
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Country | US
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Telephone | 702-202-1400
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Fax | 702-202-1414
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Authorized Official
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Title or Position | OWNER
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Name | MS. SALLY J SPURGEON
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Credential | LMT, MMP, NCTMB
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Telephone | 702-202-1400
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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 | 2000098-521
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License Number State | NV
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