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General NPI Number Information
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NPI Number | 1902744147
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Entity Type | Organization
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Legal Business Name | TWIN FLAME SPA LEGACY
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 1337 OLIVER RD STE A
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City | FAIRFIELD
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State | CA
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Zip | 94534-3470
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Country | US
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Telephone | 707-688-6768
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Fax |
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Provider Business Mailing Address
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Address Line | 1337 OLIVER RD STE A
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City | FAIRFIELD
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State | CA
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Zip | 94534-3470
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Country | US
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Telephone | 707-688-6768
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | CASEY TOOMER
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Credential |
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Telephone | 707-384-8247
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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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