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General NPI Number Information
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NPI Number | 1396023073
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Entity Type | Organization
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Legal Business Name | REMEDY CLINIC, INC.
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Dates
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Enumeration Date | 07/28/2011
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Last Update Date | 07/28/2011
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Provider Practice Location Address
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Address Line | 4822 SIX FORKS RD 202
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City | RALEIGH
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State | NC
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Zip | 27609-5269
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Country | US
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Telephone | 919-788-1568
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Fax |
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Provider Business Mailing Address
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Address Line | 4822 SIX FORKS RD 202
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City | RALEIGH
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State | NC
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Zip | 27609-5269
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Country | US
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Telephone | 919-788-1568
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIRGINIA A BROWNING
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Credential | L.AC.
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Telephone | 919-788-1568
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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 | 3664
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 05561
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 834
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 312
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License Number State | NC
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