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General NPI Number Information
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NPI Number | 1811398381
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Entity Type | Organization
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Legal Business Name | PALPATING PALMS MASSAGE CENTER LLC
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 1500 LEESTOWN RD SUITE 338 BAKHAUS BLDG
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City | LEXINGTON
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State | KY
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Zip | 40511-2044
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Country | US
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Telephone | 859-317-8295
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 LEESTOWN RD SUITE 338 BAKHAUS BLDG
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City | LEXINGTON
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State | KY
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Zip | 40511-2044
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Country | US
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Telephone | 859-317-8295
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Fax |
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Authorized Official
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Title or Position | LMT & OWNER
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Name | MS. NINA MASTERSON
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Credential | LMT, CPT
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Telephone | 859-317-8295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | KY4162
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | KY2480
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | KY3588
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | KY5012
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | KY1909
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License Number State | KY
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