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General NPI Number Information
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NPI Number | 1801580386
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Entity Type | Organization
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Legal Business Name | THE REAL MIDAS TOUCH LLC
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 8787 FRANCIS LEWIS BLVD
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City | JAMAICA
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State | NY
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Zip | 11427-2806
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Country | US
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Telephone | 929-993-0526
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Fax |
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Provider Business Mailing Address
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Address Line | 1366 EDISON AVE FL 2
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City | BRONX
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State | NY
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Zip | 10461-5938
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Country | US
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Telephone | 646-201-1178
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | JOSE CASTELLANOS
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Credential | LMT
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Telephone | 646-201-1178
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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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