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General NPI Number Information
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NPI Number | 1225532948
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Entity Type | Individual
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Provider Name | DEBRA JEAN WALSH L.M.T., L.P.T.A.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 118 LONG POND RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-2662
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Country | US
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Telephone | 781-760-2385
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Fax | 508-927-4242
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Provider Business Mailing Address
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Address Line | 27 MEETING HOUSE RD STE 205
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City | KINGSTON
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State | MA
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Zip | 02364-2174
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Country | US
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Telephone | 781-585-0929
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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 | 13456
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License Number State | MA
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