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General NPI Number Information
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NPI Number | 1114147485
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Entity Type | Individual
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Provider Name | MARTHA MURRAY PULLIAN LICENSED MASSAGE THE
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Gender | Female
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6 WEST LEMON ST
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City | BEVERLY HILLS
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State | FL
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Zip | 34465
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Country | US
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Telephone | 352-527-7175
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Fax | 352-527-7175
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Provider Business Mailing Address
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Address Line | PO BOX 640832
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City | BEVERLY HILLS
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State | FL
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Zip | 34464
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Country | US
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Telephone | 352-422-1325
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Fax | 352-527-7175
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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 |
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License Number State |
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