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General NPI Number Information
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NPI Number | 1528590940
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Entity Type | Organization
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Legal Business Name | ADDED PRESSURE MASSAGE
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 1387 HAYNES MEADOW TRL
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City | GRAYSON
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State | GA
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Zip | 30017-2816
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Country | US
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Telephone | 404-307-8201
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Fax |
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Provider Business Mailing Address
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Address Line | 1387 HAYNES MEADOW TRL
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City | GRAYSON
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State | GA
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Zip | 30017-2816
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Country | US
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Telephone | 404-307-8201
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JAMES ELLIOTT BECKETT
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Credential | LMT, LPTA
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Telephone | 404-307-8201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA002167
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT000813
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License Number State | GA
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