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General NPI Number Information
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NPI Number | 1740533520
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Entity Type | Organization
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Legal Business Name | CARE1 MASSAGE THERAPY
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 455 MARYANN LANE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552
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Country | US
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Telephone | 516-225-1998
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Fax |
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Provider Business Mailing Address
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Address Line | 455 MARYANN LANE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552
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Country | US
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Telephone | 516-225-1998
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MR. LESPAUL NEWTON SR.
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Credential | LMT
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Telephone | 516-225-1998
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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 | 7848548
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License Number State | NY
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