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General NPI Number Information
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NPI Number | 1700308327
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Entity Type | Individual
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Provider Name | TIMOTHY WILLIAM CURRAN LMT
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Gender | Male
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 07/14/2017
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Provider Practice Location Address
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Address Line | 5982 US ROUTE 60 E
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1035
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Country | US
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Telephone | 304-730-4153
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Fax | 304-736-9997
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Provider Business Mailing Address
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Address Line | 4153 FOUR POLE RD
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City | HUNTINGTON
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State | WV
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Zip | 25701-9664
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Country | US
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Telephone | 304-730-4153
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Fax | 304-736-9997
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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 | 2016-3441
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License Number State | WV
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