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General NPI Number Information
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NPI Number | 1528583796
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Entity Type | Individual
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Provider Name | CAROLYN MEASE VRANY CMT
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Gender | Female
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Dates
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Enumeration Date | 08/09/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1000 N 9TH ST STE 42
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3154
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Country | US
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Telephone | 970-245-6408
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Fax |
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Provider Business Mailing Address
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Address Line | 365 29 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81504-4601
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Country | US
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Telephone | 970-245-6408
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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 | MT0001359
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License Number State | CO
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