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General NPI Number Information
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NPI Number | 1710671938
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Entity Type | Organization
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Legal Business Name | HEALING HANDS WELLNESS AND RESTORATION LLC
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 8415 BELLONA LN STE 110
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City | TOWSON
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State | MD
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Zip | 21204-2015
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Country | US
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Telephone | 410-301-4149
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Fax |
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Provider Business Mailing Address
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Address Line | 2218 CEDAR BARN WAY
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City | WINDSOR MILL
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State | MD
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Zip | 21244-1246
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Country | US
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Telephone | 443-804-8110
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | VERNA WILSON QUEEN
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Credential | RMP
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Telephone | 443-804-8110
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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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