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General NPI Number Information
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NPI Number | 1710354550
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Entity Type | Organization
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Legal Business Name | UR MASSAGE
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 237 MERCER ST
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-3040
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Country | US
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Telephone | 908-283-6114
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Fax |
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Provider Business Mailing Address
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Address Line | 237 MERCER ST
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-3040
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Country | US
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Telephone | 908-283-6114
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | SLTELESE FRANKLIN
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Credential |
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Telephone | 908-283-6114
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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 | 18KT00706600
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License Number State | NJ
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