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General NPI Number Information
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NPI Number | 1750627972
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Entity Type | Individual
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Provider Name | SANDY KAYE TEMPLETON LMT
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Gender | Female
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 12/14/2012
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Provider Practice Location Address
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Address Line | 1776 OLD SPRING HOUSE LN SUITE 104
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City | DUNWOODY
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State | GA
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Zip | 30338-6225
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Country | US
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Telephone | 678-205-5095
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Fax |
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Provider Business Mailing Address
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Address Line | 2258 PERNOSHAL CT
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City | DUNWOODY
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State | GA
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Zip | 30338-6448
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Country | US
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Telephone | 770-364-4043
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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 | MT001514
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License Number State | GA
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