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General NPI Number Information
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NPI Number | 1255042412
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Entity Type | Individual
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Provider Name | ARTHUR F CAPOZZI III LMT, NASM
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Gender | Male
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 681 MAIN ST STE 2-18
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City | WALTHAM
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State | MA
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Zip | 02451-0633
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Country | US
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Telephone | 617-470-1332
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Fax |
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Provider Business Mailing Address
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Address Line | 5306 STEARNS HILL RD
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City | WALTHAM
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State | MA
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Zip | 02451-7107
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Country | US
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Telephone | 617-470-1332
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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 | 16552
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License Number State | MA
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