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General NPI Number Information
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NPI Number | 1497892509
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Entity Type | Individual
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Provider Name | SHARNELL DAWN WORKMAN CMMP, LMT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 1902 15TH AVENUE
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City | PARKERSBURG
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State | WV
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Zip | 26101-6121
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Country | US
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Telephone | 740-236-1407
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Fax | 740-236-1664
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Provider Business Mailing Address
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Address Line | 1902 15TH AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101
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Country | US
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Telephone | 740-236-1407
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Fax | 740-236-1664
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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 | 2002-0965
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License Number State | WV
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