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General NPI Number Information
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NPI Number | 1932673738
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Entity Type | Individual
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Provider Name | TZUWEI COUGHLAN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 15867 CRABBS BRANCH WAY STE B
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City | DERWOOD
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State | MD
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Zip | 20855-2696
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Country | US
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Telephone | 301-840-2469
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Fax |
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Provider Business Mailing Address
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Address Line | 4809 WEATHEROAK DR
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City | OLNEY
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State | MD
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Zip | 20832-1912
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Country | US
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Telephone | 301-332-7005
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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 |
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License Number State |
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