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NPI 1336370063

NPI 1336370063 : JOAN E. HOWARD L.M.T. : NEWTON, MA

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General NPI Number Information
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    NPI Number           |    1336370063
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    Entity Type          |    Individual 
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    Provider Name        |    JOAN E. HOWARD L.M.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2009
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    Last Update Date     |    07/29/2009
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Provider Practice Location Address
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    Address Line         |    697 WASHINGTON ST SUITE 202
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    City                 |    NEWTON
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    State                |    MA
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    Zip                  |    02458-1388
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    Country              |    US
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    Telephone            |    617-610-1245
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    37 FOREST HILLS ST #2
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02130-2932
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    Country              |    US
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    Telephone            |    617-610-1245
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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       |    005
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MA47545
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    License Number State |    FL
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