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General NPI Number Information
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NPI Number | 1538502174
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Entity Type | Organization
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Legal Business Name | THE MUSCLE JOINT, LLC
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Dates
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Enumeration Date | 04/13/2013
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Last Update Date | 04/13/2013
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Provider Practice Location Address
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Address Line | 2709 18TH PL S
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City | HOMEWOOD
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State | AL
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Zip | 35209-1950
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Country | US
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Telephone | 205-547-0321
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Fax |
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Provider Business Mailing Address
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Address Line | 2709 18TH PL S
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City | HOMEWOOD
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State | AL
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Zip | 35209-1950
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Country | US
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Telephone | 205-547-0321
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | SHERRIE HAFLEY
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Credential | LMT
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Telephone | 205-547-0321
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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 | 3431
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License Number State | AL
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