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General NPI Number Information
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NPI Number | 1346801594
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Entity Type | Individual
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Provider Name | EMILY ANN MCROBERTS LMT
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Gender | Female
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 3190 ROCHESTER RD STE 107
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City | TROY
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State | MI
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Zip | 48083-5464
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Country | US
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Telephone | 248-264-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 2511 BENEDICT LN
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-2009
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Country | US
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Telephone | 586-907-3570
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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 | 7501011431
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License Number State | MI
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