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General NPI Number Information
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NPI Number | 1770793671
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Entity Type | Organization
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Legal Business Name | LIVING WELL MASSAGE THERAPY, LLP
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 2122 EGGERT RD STE 1
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City | AMHERST
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State | NY
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Zip | 14226-2004
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Country | US
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Telephone | 716-834-6001
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Fax | 716-362-0559
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Provider Business Mailing Address
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Address Line | 2122 EGGERT RD STE 1
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City | AMHERST
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State | NY
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Zip | 14226-2004
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Country | US
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Telephone | 716-834-6001
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Fax | 716-362-0559
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. ANN E. ORFFEO
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Credential | RN, LMT
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Telephone | 716-834-6001
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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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