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General NPI Number Information
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NPI Number | 1366214868
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Entity Type | Individual
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Provider Name | MICHELLE GREIWE MORAN LMT
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Gender | Female
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Dates
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Enumeration Date | 10/27/2023
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 259 BEAUVOIR RD
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City | BILOXI
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State | MS
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Zip | 39531-4008
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Country | US
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Telephone | 228-207-3355
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Fax | 228-233-3668
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Provider Business Mailing Address
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Address Line | 259 BEAUVOIR RD
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City | BILOXI
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State | MS
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Zip | 39531-4008
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Country | US
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Telephone | 228-207-3355
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Fax | 228-233-3668
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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 | 2302
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License Number State | MS
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