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General NPI Number Information
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NPI Number | 1790004323
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Entity Type | Individual
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Provider Name | WILHEMINA JUDKINS TALLEY THERAPISTS
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Gender | Female
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 501 HAMPTON LN
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-8743
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Country | US
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Telephone | 252-425-8543
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Fax |
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Provider Business Mailing Address
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Address Line | 501 HAMPTON LN
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-8743
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Country | US
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Telephone | 252-425-8543
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | 09911
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License Number State | NC
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