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General NPI Number Information
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NPI Number | 1801604806
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Entity Type | Organization
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Legal Business Name | B TOWN LLC
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Dates
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Enumeration Date | 12/21/2024
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Last Update Date | 12/21/2024
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Provider Practice Location Address
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Address Line | 700 10TH AVE
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City | BELMAR
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State | NJ
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Zip | 07719-2709
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Country | US
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Telephone | 908-310-7566
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Fax |
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Provider Business Mailing Address
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Address Line | 711 PENSACOLA RD
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City | FORKED RIVER
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State | NJ
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Zip | 08731-5313
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Country | US
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Telephone | 908-310-7566
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MRS. KIMBERLY LOUISE METZ
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Credential | LMT
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Telephone | 908-310-7566
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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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