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General NPI Number Information
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NPI Number | 1831604933
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Entity Type | Organization
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Legal Business Name | HEART IN HAND
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 12/11/2017
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Provider Practice Location Address
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Address Line | 98 WASHINGTON ST
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City | MIDDLETOWN
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State | CT
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Zip | 06457-2803
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Country | US
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Telephone | 869-462-6474
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Fax | 860-852-3939
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Provider Business Mailing Address
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Address Line | 7 RIVERSIDE ST
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City | PORTLAND
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State | CT
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Zip | 06480-1952
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Country | US
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Telephone | 860-462-6474
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Fax | 860-852-3939
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Authorized Official
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Title or Position | OWNER
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Name | RYAN REED
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Credential |
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Telephone | 860-462-6474
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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 | 7526
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License Number State | CT
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