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General NPI Number Information
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NPI Number | 1821616483
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Entity Type | Individual
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Provider Name | JOEL TOMLINSON LMT
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Gender | Male
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 410 W MCMILLAN ST
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City | MARSHFIELD
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State | WI
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Zip | 54449-6015
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Country | US
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Telephone | 715-389-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 117456 EAU PLEINE RD
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City | STRATFORD
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State | WI
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Zip | 54484-4488
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Country | US
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Telephone | 715-507-0999
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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 | 1313146
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License Number State | WI
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