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General NPI Number Information
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NPI Number | 1194966739
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Entity Type | Individual
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Provider Name | CORI ROBIN FOLLICK LMT
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Gender | Female
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 761 MURPHY HIGHWAY SUITE B
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City | BLAIRSVILLE
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State | GA
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Zip | 30512
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Country | US
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Telephone | 706-400-9686
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Fax |
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Provider Business Mailing Address
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Address Line | 201 YOUNG HARRIS ST # 113 SUITE 3
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-8522
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Country | US
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Telephone | 706-400-9686
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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 | MT000752
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License Number State | GA
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