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General NPI Number Information
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NPI Number | 1982376265
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Entity Type | Organization
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Legal Business Name | SHADES OF U INC
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 15212 HANOVER PIKE
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City | UPPERCO
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State | MD
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Zip | 21155-9749
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Country | US
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Telephone | 410-429-4729
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Fax |
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Provider Business Mailing Address
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Address Line | 15212 HANOVER PIKE
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City | UPPERCO
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State | MD
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Zip | 21155-9749
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Country | US
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Telephone | 410-429-4729
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CYNTHIA TAWIAH
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Credential |
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Telephone | 443-465-2333
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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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