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General NPI Number Information
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NPI Number | 1346879582
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Entity Type | Individual
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Provider Name | DEVON ANNE DOPFEL LMT
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Gender | Female
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 170 BOSTON POST RD UNIT 3
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City | MADISON
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State | CT
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Zip | 06443-2166
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Country | US
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Telephone | 860-245-1249
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Fax |
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Provider Business Mailing Address
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Address Line | 10 STONE PASTURE LN
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City | KILLINGWORTH
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State | CT
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Zip | 06419-1369
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Country | US
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Telephone | 508-904-3540
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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 | 008183
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License Number State | CT
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