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General NPI Number Information
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NPI Number | 1730972241
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Entity Type | Individual
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Provider Name | ERIN M DIMOND LMT
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 318 SPRING ST
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City | DOVER
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State | TN
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Zip | 37058-3245
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Country | US
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Telephone | 931-237-0622
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Fax |
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Provider Business Mailing Address
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Address Line | 433 SID SUMMERS RD
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City | STEWART
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State | TN
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Zip | 37175-5669
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Country | US
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Telephone | 815-222-9147
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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 | 14858
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License Number State | TN
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