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General NPI Number Information
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NPI Number | 1548413941
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Entity Type | Individual
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Provider Name | MARTHA E. KAUPPINEN LMT
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Gender | Female
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 88 MASONIC HOME RD GUEST SUITE 5
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City | CHARLTON
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State | MA
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Zip | 01507-1394
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Country | US
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Telephone | 508-612-8634
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Fax |
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Provider Business Mailing Address
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Address Line | 28 STONEYBROOK RD
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City | CHARLTON
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State | MA
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Zip | 01507-1809
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Country | US
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Telephone | 508-248-2863
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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 | 156
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License Number State | MA
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