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General NPI Number Information
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NPI Number | 1487546800
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Entity Type | Individual
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Provider Name | MEKALE JULIAN MT
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Gender | Female
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 10 W FRANKLIN ST STE 104
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City | HUNTINGTON
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State | IN
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Zip | 46750-2674
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Country | US
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Telephone | 765-421-5692
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Fax |
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Provider Business Mailing Address
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Address Line | 6170 W MAPLE GROVE RD
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City | HUNTINGTON
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State | IN
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Zip | 46750-8977
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Country | US
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Telephone | 765-421-5692
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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 | MT21806583
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License Number State | IN
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