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General NPI Number Information
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NPI Number | 1417258682
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Entity Type | Individual
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Provider Name | JAMIE LYNN APSEY CMT
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Gender | Female
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 3751 S STATE RD
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City | IONIA
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State | MI
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Zip | 48846-9478
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Country | US
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Telephone | 616-522-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 1253 E TUPPER LAKE RD
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City | LAKE ODESSA
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State | MI
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Zip | 48849-9642
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Country | US
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Telephone | 616-755-1362
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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 | 3114
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License Number State | MI
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