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General NPI Number Information
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NPI Number | 1922590215
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Entity Type | Organization
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Legal Business Name | LUX MOBILITY THERAPEUTICS LLC
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 06/01/2018
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Provider Practice Location Address
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Address Line | 13328 1/2 ALMEDA RD STE D
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City | HOUSTON
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State | TX
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Zip | 77045-6628
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Country | US
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Telephone | 281-748-7736
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Fax |
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Provider Business Mailing Address
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Address Line | 13328 1/2 ALMEDA RD STE D
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City | HOUSTON
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State | TX
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Zip | 77045-6628
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Country | US
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Telephone | 281-748-7736
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHENEE LATRICE LAWSON
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Credential | LMT
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Telephone | 281-748-7736
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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 | 24322
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License Number State | OR
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