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General NPI Number Information
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NPI Number | 1467389502
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Entity Type | Individual
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Provider Name | DEBORAH SUE DYER LMT
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Gender | Female
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 69 BROADWAY
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City | JIM THORPE
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State | PA
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Zip | 18229-2039
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Country | US
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Telephone | 570-995-3025
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Fax |
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Provider Business Mailing Address
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Address Line | 147 W FELL ST
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City | SUMMIT HILL
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State | PA
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Zip | 18250-1102
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Country | US
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Telephone | 484-707-1730
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Fax | 484-707-1730
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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 | MSG007213
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License Number State | PA
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