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General NPI Number Information
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NPI Number | 1447090881
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Entity Type | Individual
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Provider Name | ADAM C PIERCE LMT
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Gender | Male
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 200 PUTNAM ST STE 414
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City | MARIETTA
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State | OH
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Zip | 45750-3009
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Country | US
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Telephone | 740-434-1945
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Fax |
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Provider Business Mailing Address
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Address Line | 616 1/2 MASONIC PARK RD APT 2
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City | MARIETTA
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State | OH
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Zip | 45750-1015
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Country | US
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Telephone | 440-799-7931
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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 | 33.026944
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License Number State | OH
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