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General NPI Number Information
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NPI Number | 1780551416
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Entity Type | Organization
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Legal Business Name | TIANA THERAPEUTIC BODYWORK
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 5312 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90037-3530
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Country | US
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Telephone | 310-818-6014
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Fax |
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Provider Business Mailing Address
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Address Line | 5312 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90037-3530
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Country | US
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Telephone | 310-818-6014
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. CHRISTIANA BIBISH ONJEME ELAD
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Credential | PHD
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Telephone | 310-818-6014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number |
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License Number State |
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