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General NPI Number Information
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NPI Number | 1699920702
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Entity Type | Individual
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Provider Name | DEBRA L ADKINS MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | ALL ABOUT YOU 6TH ST. 201B
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City | POINT PLEASANT
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State | WV
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Zip | 25550-1108
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Country | US
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Telephone | 304-675-1411
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Fax |
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Provider Business Mailing Address
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Address Line | RT.2 ECKARD CHAPEL RD 1095
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City | POINT PLEASANT
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State | WV
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Zip | 25550-9556
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Country | US
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Telephone | 304-675-7808
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Fax | 304-675-2493
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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 | 2005-1809
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License Number State | WV
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