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General NPI Number Information
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NPI Number | 1508362575
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Entity Type | Individual
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Provider Name | ZANETTA PIERCE CMT
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Gender | Female
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 102 BROWNING LN BLDG C-LL7
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3195
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Country | US
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Telephone | 856-477-3890
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55733
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City | TRENTON
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State | NJ
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Zip | 08638-6733
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Country | US
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Telephone | 609-235-7934
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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 | 18KT00398900
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License Number State | NJ
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