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General NPI Number Information
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NPI Number | 1346649068
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Entity Type | Individual
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Provider Name | ARIELLE MARIAH DEAN LMT
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Gender | Female
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 1370 ONTARIO ST SUITE #400
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City | CLEVELAND
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State | OH
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Zip | 44113
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Country | US
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Telephone | 210-357-3901
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Fax | 216-357-3903
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Provider Business Mailing Address
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Address Line | 24932-C AURORA RD.
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146
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Country | US
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Telephone | 440-439-9440
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Fax | 440-439-9447
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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 | .021784
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License Number State | OH
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