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General NPI Number Information
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NPI Number | 1497504757
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Entity Type | Individual
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Provider Name | JULIE MAE RICHARDS LMT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 169 S RIVER RD UNIT 4
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City | BEDFORD
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State | NH
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Zip | 03110-6934
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Country | US
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Telephone | 603-465-1655
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1416
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City | AMHERST
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State | NH
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Zip | 03031-1416
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Country | US
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Telephone | 603-465-1655
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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 | 5099M
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License Number State | NH
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