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General NPI Number Information
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NPI Number | 1841058146
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Entity Type | Individual
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Provider Name | ELIZABETH SCHEUERMAN LMT
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 81 N MAIN ST STE 105
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-5616
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Country | US
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Telephone | 586-251-3732
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Fax |
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Provider Business Mailing Address
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Address Line | 23646 COTTRELL ST
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48035-5433
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Country | US
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Telephone | 586-746-9601
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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 | 7501003189
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License Number State | MI
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