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General NPI Number Information
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NPI Number | 1740961283
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Entity Type | Individual
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Provider Name | RUSSYA COX
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Gender | Female
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 4200 MUNSON ST NW STE B
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City | CANTON
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State | OH
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Zip | 44718-2981
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Country | US
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Telephone | 330-616-3165
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Fax |
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Provider Business Mailing Address
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Address Line | 4175 DARROW RD APT 27
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City | STOW
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State | OH
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Zip | 44224-2679
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Country | US
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Telephone | 234-863-9942
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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 |
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License Number State | OH
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