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General NPI Number Information
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NPI Number | 1700236015
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Entity Type | Organization
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Legal Business Name | RENEW HEALTH MASSAGE
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Dates
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Enumeration Date | 06/17/2016
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 1110 NASA PKWY SUITE 510
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City | HOUSTON
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State | TX
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Zip | 77058-3310
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Country | US
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Telephone | 281-738-8895
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 NASA PKWY SUITE 510
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City | HOUSTON
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State | TX
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Zip | 77058-3310
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Country | US
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Telephone | 281-738-8895
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | VICTORIA GARCIA
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Credential |
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Telephone | 281-957-9508
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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 | C96400
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License Number State | TX
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