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General NPI Number Information
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NPI Number | 1952739005
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Entity Type | Organization
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Legal Business Name | TOTAL MASSAGE LLC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 1500 HORIZON DR STE 120E
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City | CHALFONT
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State | PA
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Zip | 18914-3966
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Country | US
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Telephone | 484-489-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 HORIZON DR STE 120E PO BOX 76
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City | CHALFONT
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State | PA
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Zip | 18914-3966
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Country | US
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Telephone | 484-489-1700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JULIE A SPAHN
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Credential | LMT
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Telephone | 215-997-9094
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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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