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General NPI Number Information
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NPI Number | 1992680789
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Entity Type | Organization
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Legal Business Name | AQUALISS THERAPEUTIC MASSAGE & SPA
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Dates
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Enumeration Date | 08/09/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 26321 NORTHWEST FWY STE 100
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City | CYPRESS
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State | TX
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Zip | 77429-5759
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Country | US
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Telephone | 832-400-5566
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Fax |
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Provider Business Mailing Address
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Address Line | 19615 LAKE BOSQUE DR
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City | CYPRESS
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State | TX
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Zip | 77433-7920
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Country | US
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Telephone | 949-395-5729
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JINJIN QIU
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Credential |
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Telephone | 949-395-5729
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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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