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General NPI Number Information
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NPI Number | 1801489240
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Entity Type | Organization
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Legal Business Name | FINGERS FROM HEAVEN INC
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 464 ROUTE 25A
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City | MILLER PLACE
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State | NY
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Zip | 11764-2514
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Country | US
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Telephone | 631-680-9458
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Fax | 631-736-1332
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Provider Business Mailing Address
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Address Line | 464 ROUTE 25A
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City | MILLER PLACE
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State | NY
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Zip | 11764-2514
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Country | US
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Telephone | 631-438-6682
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Fax | 631-642-2195
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Authorized Official
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Title or Position | OWNER
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Name | CONNIE TJADEN
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Credential | D.AC, LMT
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Telephone | 631-438-6682
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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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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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