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General NPI Number Information
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NPI Number | 1912622846
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Entity Type | Individual
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Provider Name | RAINY KEMP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/09/2022
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Provider Practice Location Address
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Address Line | 2302 US HIGHWAY 2 E STE 16
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City | KALISPELL
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State | MT
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Zip | 59901-2866
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Country | US
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Telephone | 406-360-3846
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Fax |
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Provider Business Mailing Address
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Address Line | 116 CENTRAL AVE
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City | HAMILTON
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State | MT
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Zip | 59840-2822
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Country | US
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Telephone | 406-529-7945
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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 | LMT-LMT-LIC-23336
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License Number State | MT
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