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General NPI Number Information
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NPI Number | 1457744518
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Entity Type | Individual
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Provider Name | TAMI JEAN ARELLANO LMT
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Gender | Female
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Dates
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Enumeration Date | 03/13/2015
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 1400 W SEMINARY ST
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City | RICHLAND CENTER
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State | WI
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Zip | 53581-2036
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Country | US
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Telephone | 608-532-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 E NEBRASKA ST TRLR 2
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City | MUSCODA
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State | WI
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Zip | 53573-8920
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Country | US
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Telephone | 608-532-6001
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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 | 4003146
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License Number State | WI
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