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General NPI Number Information
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NPI Number | 1053180885
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Entity Type | Individual
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Provider Name | TIA MARIE TEMPLETON LMT
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Gender | Female
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Dates
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Enumeration Date | 12/21/2023
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 232 S CALDERWOOD ST STE L
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City | ALCOA
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State | TN
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Zip | 37701-2127
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Country | US
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Telephone | 239-298-2065
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Fax |
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Provider Business Mailing Address
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Address Line | 3684 HURTGEN CIR
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City | FRIENDSVILLE
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State | TN
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Zip | 37737-3181
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Country | US
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Telephone | 239-298-2065
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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 | 14023
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License Number State | TN
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