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General NPI Number Information
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NPI Number | 1699367961
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Entity Type | Individual
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Provider Name | TERA BILSKY CCMA, LMT
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Gender | Female
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 01/07/2024
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Provider Practice Location Address
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Address Line | 1285 E PIDGEON RD STE B
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City | SALEM
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State | OH
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Zip | 44460-4364
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Country | US
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Telephone | 330-383-4038
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Fax |
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Provider Business Mailing Address
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Address Line | 39003 GRANT ST
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City | LISBON
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State | OH
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Zip | 44432-9701
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Country | US
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Telephone | 330-383-4038
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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 | 33025154
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License Number State | OH
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