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General NPI Number Information
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NPI Number | 1285948323
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Entity Type | Organization
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Legal Business Name | HUNTINGTON THERAPY
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 07/30/2010
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Provider Practice Location Address
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Address Line | 1018 6TH AVE FLOOR 2
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City | HUNTINGTON
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State | WV
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Zip | 25701-2308
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Country | US
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Telephone | 304-522-1155
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Fax | 304-522-1160
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Provider Business Mailing Address
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Address Line | 1018 6TH AVE FLOOR 2
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City | HUNTINGTON
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State | WV
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Zip | 25701-2308
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Country | US
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Telephone | 304-522-1155
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Fax | 304-522-1160
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Authorized Official
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Title or Position | OWNER
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Name | MS. TARA DOLIN
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Credential |
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Telephone | 304-522-1155
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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 |
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License Number State |
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