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General NPI Number Information
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NPI Number | 1154812642
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Entity Type | Individual
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Provider Name | ERIKA BENNETT CRIPE LMT
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Gender | Female
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 2231 N 7TH ST STE 14
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-7434
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Country | US
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Telephone | 970-640-7682
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Fax |
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Provider Business Mailing Address
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Address Line | 697 JASPER DR
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City | FRUITA
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State | CO
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Zip | 81521-8314
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Country | US
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Telephone | 405-255-1279
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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 | MT0021497
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License Number State | CO
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