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General NPI Number Information
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NPI Number | 1275081523
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Entity Type | Individual
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Provider Name | ALYSSA KING
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Gender | Female
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 105 S PEARL ST
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City | TECUMSEH
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State | MI
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Zip | 49286-1951
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Country | US
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Telephone | 517-605-3278
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Fax | 517-652-0138
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Provider Business Mailing Address
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Address Line | 2164 E MONROE RD
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City | TECUMSEH
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State | MI
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Zip | 49286-9765
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Country | US
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Telephone | 517-605-3278
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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 | 7501002478
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License Number State | MI
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