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General NPI Number Information
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NPI Number | 1699939124
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Entity Type | Organization
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Legal Business Name | KNEAD TO ESCAPE, INC.
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 3077 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4154
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Country | US
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Telephone | 917-838-7080
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Fax |
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Provider Business Mailing Address
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Address Line | 12 WHITAKER PL
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4120
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Country | US
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Telephone | 917-838-7080
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Fax |
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Authorized Official
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Title or Position | OWNER/MASSAGE THERAPIST
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Name | MS. CHRISTINE CIPRIANO
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Credential | L.M.T.
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Telephone | 917-838-7080
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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 | 008471
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License Number State | NY
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