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General NPI Number Information
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NPI Number | 1457599383
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Entity Type | Individual
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Provider Name | PAULA QUALLS-MITCHELL PHD, LMT, NCBTMB
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Gender | Female
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 525 WOLF LEDGES PKWY SUITE B
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City | AKRON
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State | OH
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Zip | 44311-4432
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Country | US
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Telephone | 330-379-3496
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Fax | 330-379-3496
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Provider Business Mailing Address
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Address Line | 1014 EATON AVE
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City | AKRON
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State | OH
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Zip | 44303-1314
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Country | US
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Telephone | 330-836-4462
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Fax | 330-836-4462
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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 | 33-17644
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License Number State | OH
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