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General NPI Number Information
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NPI Number | 1427309087
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Entity Type | Individual
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Provider Name | DEBORAH OVERMYER LMT
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Gender | Female
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 2005 ASHLAND AVE
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City | TOLEDO
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State | OH
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Zip | 43620-1703
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Country | US
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Telephone | 419-841-7701
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Fax | 419-841-1691
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Provider Business Mailing Address
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Address Line | PO BOX 836
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City | PERRYSBURG
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State | OH
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Zip | 43552-0836
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Country | US
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Telephone | 419-343-1867
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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 | 33.008819
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.389358
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License Number State | OH
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