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General NPI Number Information
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NPI Number | 1316665581
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Entity Type | Individual
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Provider Name | MARIAH REED CMT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 49700 ROAD 426
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City | OAKHURST
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State | CA
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Zip | 93644-9703
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Country | US
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Telephone | 559-683-4434
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Fax |
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Provider Business Mailing Address
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Address Line | 42445 DEEP FOREST DR
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City | COARSEGOLD
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State | CA
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Zip | 93614-9153
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Country | US
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Telephone | 559-760-6832
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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 | 91148
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License Number State | CA
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