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General NPI Number Information
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NPI Number | 1205508264
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Entity Type | Individual
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Provider Name | AMBER ONEIDA DUNCAN LMT
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 903 DEXTER ST
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City | MILAN
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State | MI
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Zip | 48160-1160
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Country | US
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Telephone | 151-726-0718
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Fax |
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Provider Business Mailing Address
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Address Line | 5373 OSBURN DR
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City | TECUMSEH
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State | MI
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Zip | 49286-9587
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Country | US
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Telephone | 517-250-5833
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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 | 7501007717
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License Number State | MI
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