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General NPI Number Information
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NPI Number | 1801543897
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Entity Type | Organization
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Legal Business Name | BEST LIFE BODYWORK
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 1890 CROOKS RD STE 201
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City | TROY
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State | MI
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Zip | 48084-5509
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Country | US
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Telephone | 248-971-8309
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Fax |
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Provider Business Mailing Address
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Address Line | 1890 CROOKS RD STE 201
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City | TROY
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State | MI
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Zip | 48084-5509
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Country | US
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Telephone | 248-971-8309
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NANESHA STRONG
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Credential | LMT,CMMP
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Telephone | 248-971-8309
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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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