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General NPI Number Information
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NPI Number | 1992526461
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Entity Type | Organization
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Legal Business Name | MEDICAL MASSAGE & WELLNESS
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 25761 LORAIN RD STE 110
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3369
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Country | US
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Telephone | 440-455-1012
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Fax |
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Provider Business Mailing Address
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Address Line | 21255 DETROIT RD APT F227
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City | ROCKY RIVER
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State | OH
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Zip | 44116-2291
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Country | US
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Telephone | 216-309-9253
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Fax |
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Authorized Official
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Title or Position | OWNER/ MASSAGE THERAPIST
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Name | JONATHAN PEREZ
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Credential | LMT
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Telephone | 216-309-9253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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