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General NPI Number Information
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NPI Number | 1356502983
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Entity Type | Individual
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Provider Name | BARBARA JEAN FLAHERTY
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Gender | Female
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 109 ELM ST
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City | FARMINGTON
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State | MN
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Zip | 55024-1048
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Country | US
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Telephone | 651-463-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 951 CATALINA WAY
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City | FARMINGTON
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State | MN
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Zip | 55024-8413
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Country | US
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Telephone | 612-385-2027
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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 |
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License Number State |
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