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General NPI Number Information
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NPI Number | 1528340106
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Entity Type | Individual
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Provider Name | JANICE SCHOLLENBERGER LMT
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Gender | Female
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 20 STOCKBRIDGE RD
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-1773
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Country | US
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Telephone | 413-717-4078
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Fax |
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Provider Business Mailing Address
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Address Line | 80 E 11TH ST 508
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City | NEW YORK
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State | NY
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Zip | 10003-6811
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Country | US
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Telephone | 646-234-5170
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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 | 3554
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License Number State | MA
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