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General NPI Number Information
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NPI Number | 1932517570
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Entity Type | Individual
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Provider Name | JANET WILSON RPP, RCST
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Gender | Female
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 260 SANDHILL RD
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City | RENO
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State | OH
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Zip | 45773-8005
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Country | US
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Telephone | 740-350-6227
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Fax |
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Provider Business Mailing Address
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Address Line | 307 VIRGINIA ST
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City | MARIETTA
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State | OH
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Zip | 45750-2869
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Country | US
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Telephone | 740-350-6227
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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 | CERTIFICATION 123
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License Number State | OH
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