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General NPI Number Information
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NPI Number | 1386798270
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Entity Type | Individual
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Provider Name | ANGELA D HESTER RMT, NCBTMB
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3001 HIGHWAY 72 W
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City | CORINTH
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State | MS
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Zip | 38834-9399
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Country | US
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Telephone | 662-287-7445
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Fax |
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Provider Business Mailing Address
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Address Line | 303 COUNTY ROAD 392
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City | TISHOMINGO
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State | MS
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Zip | 38873-9107
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Country | US
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Telephone | 662-438-9930
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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 | 700
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License Number State | MS
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