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General NPI Number Information
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NPI Number | 1023247764
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Entity Type | Individual
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Provider Name | JACQUELINE POWERS LMT, RPP
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Gender | Female
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 12 PARMENTER RD UNIT A-3
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City | LONDONDERRY
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State | NH
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Zip | 03053-3280
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Country | US
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Telephone | 603-867-4767
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Fax |
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Provider Business Mailing Address
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Address Line | 41 HIGH ST 2ND FLOOR
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City | DERRY
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State | NH
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Zip | 03038-2234
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Country | US
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Telephone | 603-867-4767
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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 | 2661M
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License Number State | NH
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