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General NPI Number Information
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NPI Number | 1013925163
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Entity Type | Individual
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Provider Name | MS. ELAINE M TEMPLETON
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Gender | Female
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 7341 CENTER ST MANE STREET SALON
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City | MENTOR
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State | OH
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Zip | 44060-5801
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Country | US
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Telephone | 440-255-7479
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Fax |
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Provider Business Mailing Address
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Address Line | 8050 HARBOR CREEK DR # 2004
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City | MENTOR ON THE LAKE
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State | OH
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Zip | 44060-2071
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Country | US
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Telephone | 440-257-0416
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 33013185
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License Number State | OH
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