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General NPI Number Information
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NPI Number | 1902083678
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Entity Type | Individual
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Provider Name | ARIAN NICOLE HORTON NCTMB,
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Gender | Female
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 9455 LORTON MARKET ST SUITE 100A
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City | LORTON
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State | VA
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Zip | 22079-1962
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Country | US
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Telephone | 571-286-4325
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 823
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City | LORTON
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State | VA
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Zip | 22199-0823
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Country | US
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Telephone | 571-286-4325
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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 | 530475-07
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019007906
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License Number State | VA
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