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General NPI Number Information
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NPI Number | 1417847153
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Entity Type | Individual
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Provider Name | EMILY L HART LMT
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Gender | Female
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 7164 HACKS CROSS RD STE 110
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-3907
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Country | US
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Telephone | 662-420-7073
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Fax |
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Provider Business Mailing Address
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Address Line | 2309 ANSLEY PARK N
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City | SOUTHAVEN
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State | MS
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Zip | 38672-8378
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Country | US
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Telephone | 901-598-0372
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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 | 606
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License Number State | MS
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