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General NPI Number Information
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NPI Number | 1821950726
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Entity Type | Organization
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Legal Business Name | 1 LIFE 1 BODY THERAPEUTIC MASSAGE LLC
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Dates
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Enumeration Date | 11/29/2025
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Last Update Date | 11/29/2025
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Provider Practice Location Address
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Address Line | 3231 SUPERIOR LN STE A6
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City | BOWIE
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State | MD
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Zip | 20715-1939
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Country | US
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Telephone | 443-432-2834
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Fax | 410-451-1398
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Provider Business Mailing Address
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Address Line | 3231 SUPERIOR LN STE A6
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City | BOWIE
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State | MD
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Zip | 20715-1939
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Country | US
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Telephone | 443-432-2834
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Fax | 410-451-1398
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | PATRICK DOZIER
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Credential | LMT
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Telephone | 443-775-0796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number |
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License Number State |
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