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NPI 1770759995

NPI 1770759995 : ERIN D MARANJIAN NCMT,CLT-LANA : FORT COLLINS, CO

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General NPI Number Information
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    NPI Number           |    1770759995
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN D MARANJIAN NCMT,CLT-LANA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/07/2008
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    Last Update Date     |    05/07/2008
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Provider Practice Location Address
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    Address Line         |    1101 ACADEMY CT 1B
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80524-8966
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    Country              |    US
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    Telephone            |    970-218-1443
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    Fax                  |    970-568-9852
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Provider Business Mailing Address
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    Address Line         |    6280 E COUNTY ROAD 60 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80524-9318
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    Country              |    US
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    Telephone            |    970-218-1443
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    Fax                  |    970-568-9852
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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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