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General NPI Number Information
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NPI Number | 1720575681
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Entity Type | Individual
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Provider Name | MRS. KEEARA L CAIN-CASSIDY
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Gender | Female
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 5551 HILLIARD ROME OFFICE PARK
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City | HILLIARD
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State | OH
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Zip | 43026-7287
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Country | US
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Telephone | 614-850-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 2081 JEFFEY DR
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City | HILLIARD
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State | OH
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Zip | 43026-9625
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Country | US
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Telephone | 419-619-7410
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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 | 33.021181
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License Number State | OH
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