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NPI 1316065352

NPI 1316065352 : REBECCA LYNN BURGE-DIGBY L.M.T. : BOWLING GREEN, OH

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General NPI Number Information
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    NPI Number           |    1316065352
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA LYNN BURGE-DIGBY L.M.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/27/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    536 PEARL ST 
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    City                 |    BOWLING GREEN
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    State                |    OH
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    Zip                  |    43402-2730
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    Country              |    US
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    Telephone            |    419-748-8923
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    Fax                  |    419-352-8947
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Provider Business Mailing Address
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    Address Line         |    536 PEARL ST 
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    City                 |    BOWLING GREEN
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    State                |    OH
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    Zip                  |    43402-2730
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    Country              |    US
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    Telephone            |    419-748-8923
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    Fax                  |    419-352-8947
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    OH
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