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General NPI Number Information
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NPI Number | 1447374970
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE TO MEDICINE INC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11 STACEY AVE
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City | TRENTON
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State | NJ
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Zip | 08618-3420
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Country | US
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Telephone | 609-392-7811
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Fax | 609-396-2995
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Provider Business Mailing Address
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Address Line | 11 STACEY AVE
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City | TRENTON
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State | NJ
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Zip | 08618-3420
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Country | US
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Telephone | 609-392-7811
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Fax | 609-396-2995
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Authorized Official
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Title or Position | CMT PROVIDER
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Name | ROBERT LANE
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Credential | MASSAGE THERAPIST
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Telephone | 609-392-7811
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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 | 26NP01213900
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License Number State | NJ
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