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General NPI Number Information
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NPI Number | 1427545391
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Entity Type | Organization
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Legal Business Name | MED MASSAGE PLUS
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | STATE ROUTE 837
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City | WEST ELIZABETH
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State | PA
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Zip | 15088
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Country | US
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Telephone | 412-897-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 238 SHELBY DR
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City | GREENSBURG
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State | PA
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Zip | 15601-4974
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Country | US
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Telephone | 412-897-3333
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MS. JODIE STROTRMAN
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Credential | MT
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Telephone | 412-897-3333
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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 | MSG001855
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License Number State | PA
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