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General NPI Number Information
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NPI Number | 1730370537
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Entity Type | Individual
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Provider Name | RUNN VERMEL CMT
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Gender | Male
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 6355 TELEGRAPH AVE STE 208
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City | OAKLAND
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State | CA
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Zip | 94609-1371
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Country | US
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Telephone | 510-706-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 530 E 8TH ST STE 107
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City | OAKLAND
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State | CA
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Zip | 94606-2820
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Country | US
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Telephone | 510-706-2022
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Fax | 510-452-5683
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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 |
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License Number State |
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