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NPI 1417827015

NPI 1417827015 : CALIE CUTLER LMT : DAPHNE, AL

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General NPI Number Information
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    NPI Number           |    1417827015
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    Entity Type          |    Individual 
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    Provider Name        |    CALIE CUTLER LMT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/08/2025
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    Last Update Date     |    11/19/2025
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Provider Practice Location Address
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    Address Line         |    809C DAPHNE AVE STE 102 
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    City                 |    DAPHNE
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    State                |    AL
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    Zip                  |    36526-4297
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    Country              |    US
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    Telephone            |    251-222-5473
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1271 
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    City                 |    DAPHNE
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    State                |    AL
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    Zip                  |    36526-1271
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    Country              |    US
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    Telephone            |    251-222-5473
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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       |    50021
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    License Number State |    AL
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