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General NPI Number Information
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NPI Number | 1386898385
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Entity Type | Individual
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Provider Name | KRISTEN LALIBERTE CASEY LMT
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Gender | Female
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 1 RICHMOND SQ SUITE 107K
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City | PROVIDENCE
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State | RI
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Zip | 02906-5139
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Country | US
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Telephone | 401-334-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 23 WOODBURY ST
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City | WARWICK
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State | RI
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Zip | 02889-2621
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Country | US
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Telephone | 401-334-2285
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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 | 01555
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License Number State | RI
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