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General NPI Number Information
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NPI Number | 1558989756
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Entity Type | Individual
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Provider Name | EMILY BROWN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 1597 DEKALB PIKE
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City | BLUE BELL
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State | PA
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Zip | 19422-3324
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Country | US
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Telephone | 215-767-3328
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Fax |
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Provider Business Mailing Address
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Address Line | 206 ROSEMARY AVE
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City | AMBLER
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State | PA
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Zip | 19002-4724
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Country | US
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Telephone | 215-767-3328
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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 | MSG008496
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License Number State | PA
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