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General NPI Number Information
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NPI Number | 1902221989
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Entity Type | Individual
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Provider Name | ANNA E LOPEZ LMT
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Gender | Female
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 401 S PELHAM ST
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City | RHINELANDER
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State | WI
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Zip | 54501-3314
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Country | US
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Telephone | 715-362-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 910 WABASH ST
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City | RHINELANDER
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State | WI
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Zip | 54501-3830
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Country | US
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Telephone | 715-771-9739
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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 | 10825-146
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License Number State | WI
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