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General NPI Number Information
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NPI Number | 1871192997
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Entity Type | Organization
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Legal Business Name | RESTORATION MASSAGE THERAPY WELLNESS CENTER
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 903 DEXTER ST
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City | MILAN
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State | MI
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Zip | 48160-1160
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Country | US
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Telephone | 734-508-7036
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Fax |
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Provider Business Mailing Address
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Address Line | 903 DEXTER ST
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City | MILAN
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State | MI
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Zip | 48160-1160
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Country | US
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Telephone | 734-508-7036
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA G SANCHEZ
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Credential | LMT
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Telephone | 517-260-7189
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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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