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General NPI Number Information
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NPI Number | 1194598094
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Entity Type | Individual
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Provider Name | ATHENA B CLARKIN LMT
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Gender | Female
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 2108 HARRISBURG PIKE STE 300
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City | LANCASTER
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State | PA
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Zip | 17601-2644
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Country | US
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Telephone | 717-544-4819
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 MAIN ST
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City | ELVERSON
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State | PA
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Zip | 19520-9333
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Country | US
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Telephone | 610-842-1210
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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 | MSG015273
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License Number State | PA
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