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General NPI Number Information
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NPI Number | 1740006725
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Entity Type | Individual
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Provider Name | NATALIE JAMIESON BLOMDAHL LMT, MMP, CMLDT
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Gender | Female
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 500 WOOD ST STE 201B
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City | BRISTOL
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State | RI
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Zip | 02809-2342
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Country | US
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Telephone | 401-601-9382
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Fax |
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Provider Business Mailing Address
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Address Line | 20 ORCHARD AVE
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City | BARRINGTON
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State | RI
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Zip | 02806-4626
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Country | US
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Telephone | 401-286-8877
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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 | MT02456
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License Number State | RI
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