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General NPI Number Information
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NPI Number | 1174991426
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Entity Type | Individual
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Provider Name | ROSE NAPOLI PT.ASSC. MASSAGE THP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 35 EARLE ST
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City | MILFORD
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State | CT
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Zip | 06460-7623
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Country | US
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Telephone | 203-257-2359
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Fax |
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Provider Business Mailing Address
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Address Line | 35 EARLE ST
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City | MILFORD
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State | CT
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Zip | 06460-7623
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Country | US
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Telephone | 203-257-2359
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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 | 003099
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 027966-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT01602
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License Number State | RI
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