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General NPI Number Information
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NPI Number | 1801355391
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Entity Type | Organization
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Legal Business Name | AZARIO SALON & DAY SPA
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 5420 STARKEY RD
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City | ROANOKE
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State | VA
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Zip | 24018-9031
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Country | US
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Telephone | 540-772-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 5420 STARKEY RD
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City | ROANOKE
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State | VA
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Zip | 24018-9031
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Country | US
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Telephone | 540-772-1300
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | LISA J AZAR
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Credential |
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Telephone | 540-772-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 226300000X
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Taxonomy Name | Kinesiotherapist
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License Number |
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License Number State |
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Taxonomy #3
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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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