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General NPI Number Information
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NPI Number | 1841913605
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Entity Type | Organization
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Legal Business Name | MEDICAL MASSAGE THERAPY ALLIANCE LLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 1147 STONE DR
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City | HARRISON
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State | OH
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Zip | 45030-1651
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Country | US
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Telephone | 513-202-0057
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Fax |
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Provider Business Mailing Address
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Address Line | 1147 STONE DR
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City | HARRISON
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State | OH
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Zip | 45030-1651
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Country | US
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Telephone | 513-202-0057
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARA SAVAGE
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Credential | LMT
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Telephone | 513-484-7035
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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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