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General NPI Number Information
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NPI Number | 1861186785
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Entity Type | Organization
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Legal Business Name | YOUR ME TIME MASSAGE, LLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 3685 RIVER WATCH PKWY STE 105
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City | MARTINEZ
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State | GA
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Zip | 30907-0834
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Country | US
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Telephone | 706-910-3033
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Fax |
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Provider Business Mailing Address
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Address Line | 206 APPLECROSS DR
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City | MARTINEZ
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State | GA
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Zip | 30907-6402
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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 | OWNER
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Name | TEMKIA HINES
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Credential | LMT
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Telephone | 706-361-8387
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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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