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General NPI Number Information
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NPI Number | 1821520982
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Entity Type | Organization
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Legal Business Name | LOYAL HANDS MASSAGE THERAPY
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 04/14/2017
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Provider Practice Location Address
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Address Line | 2804 55TH PL SUITE C
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3585
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Country | US
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Telephone | 317-828-0078
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Fax |
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Provider Business Mailing Address
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Address Line | 2804 55TH PL SUITE C
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3585
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | STEPHANIE BELL
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Credential |
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Telephone | 317-828-0078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | CNA0100816
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | MT20901551
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License Number State | IN
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