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General NPI Number Information
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NPI Number | 1710597505
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Entity Type | Organization
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Legal Business Name | 7FOLDS BODY AND WELLNESS LLC
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 1912 CENTRAL DR STE J
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City | BEDFORD
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State | TX
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Zip | 76021-5894
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Country | US
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Telephone | 817-692-2869
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Fax | 817-952-7072
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Provider Business Mailing Address
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Address Line | 1848 WESTERN CENTER BLVD APT 628
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City | FORT WORTH
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State | TX
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Zip | 76131-2263
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Country | US
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Telephone | 818-692-2869
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Fax | 817-952-7072
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Authorized Official
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Title or Position | OWNER
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Name | LATASHA JOHNSON
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Credential |
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Telephone | 817-692-2869
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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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