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General NPI Number Information
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NPI Number | 1841944667
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Entity Type | Organization
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Legal Business Name | THE SPA AT YELLOW CREEK LLC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 3636 YELLOW CREEK RD
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City | AKRON
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State | OH
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Zip | 44333-2269
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Country | US
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Telephone | 330-665-2555
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Fax | 330-665-3838
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Provider Business Mailing Address
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Address Line | 3636 YELLOW CREEK RD
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City | AKRON
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State | OH
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Zip | 44333-2269
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Country | US
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Telephone | 330-665-2555
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Fax | 330-665-3838
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SCOTT KENNETH VAZINSKI
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Credential |
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Telephone | 330-665-2555
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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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