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General NPI Number Information
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NPI Number | 1174409510
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Entity Type | Individual
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Provider Name | JASON EDWARD THORNTON MASSAGE THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 3025 JACKS RUN RD STE 5
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City | WHITE OAK
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State | PA
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Zip | 15131-2549
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Country | US
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Telephone | 412-437-8244
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Fax |
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Provider Business Mailing Address
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Address Line | 124 CEDAR RIDGE DR APT 13
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City | MONROEVILLE
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State | PA
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Zip | 15146-3137
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Country | US
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Telephone | 724-493-5549
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Fax | 724-493-5549
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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 | MSG009866
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License Number State | PA
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