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General NPI Number Information
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NPI Number | 1932063138
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Entity Type | Organization
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Legal Business Name | RELAX AND RELIEF THERAPEUTIC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 152 NEW ST STE 101C
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City | MACON
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State | GA
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Zip | 31201-7356
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Country | US
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Telephone | 478-216-9110
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Fax | 478-219-7485
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Provider Business Mailing Address
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Address Line | 152 NEW ST STE 101C
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City | MACON
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State | GA
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Zip | 31201-7356
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Country | US
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Telephone | 478-216-9110
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Fax | 478-216-9110
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Authorized Official
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Title or Position | CEO
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Name | DEMETRICE LASHAY HUNTER
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Credential |
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Telephone | 478-216-9110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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