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General NPI Number Information
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NPI Number | 1750280566
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Entity Type | Individual
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Provider Name | ATHULYA ARUN BAMS,MS,PGDYM,LMT
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Gender | Female
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 1031 MCBRIDE AVE # C204
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-2559
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Country | US
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Telephone | 848-247-8522
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Fax |
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Provider Business Mailing Address
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Address Line | 23B TRAPHAGEN RD FL 2
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City | WAYNE
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State | NJ
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Zip | 07470-2303
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Country | US
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Telephone | 862-684-5932
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 18KT01572100
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License Number State | NJ
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