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General NPI Number Information
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NPI Number | 1558539460
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Entity Type | Individual
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Provider Name | BARBARA DIANE EMORY LMT
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Gender | Female
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 1302 WELLINGTON RD
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2739
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Country | US
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Telephone | 804-524-0252
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Fax | 804-722-1721
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Provider Business Mailing Address
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Address Line | 27 BOLLINGBROOK ST 2ND FLOOR
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City | PETERSBURG
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State | VA
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Zip | 23803-4548
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Country | US
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Telephone | 804-722-1720
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Fax | 804-722-1721
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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 | MA14565
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License Number State | FL
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