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General NPI Number Information
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NPI Number | 1699076315
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Entity Type | Individual
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Provider Name | ROSEMARY T WILLIAMS LMT
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Gender | Female
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Dates
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Enumeration Date | 11/11/2010
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 41 S WEST RIDGE ROAD HC 60 309
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City | ROCKY RIDGE TOWN
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State | UT
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Zip | 84645
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Country | US
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Telephone | 435-660-9714
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Fax | 435-623-1906
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Provider Business Mailing Address
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Address Line | HC 60 BOX 309
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City | ROCKY RIDGE TOWN
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State | UT
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Zip | 84645-9806
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Country | US
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Telephone | 435-660-9714
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Fax | 435-623-1906
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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 | 286902-4701
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License Number State | UT
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