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General NPI Number Information
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NPI Number | 1952574758
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Entity Type | Individual
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Provider Name | TONYA COPELAND ALLEN C.M.T., L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2008
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 3416 SHELBYVILLE HWY
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City | MURFREESBORO
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State | TN
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Zip | 37127-6380
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Country | US
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Telephone | 615-494-3277
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Fax | 615-895-9133
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Provider Business Mailing Address
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Address Line | 3416 SHELBYVILLE HWY
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City | MURFREESBORO
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State | TN
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Zip | 37127-6380
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Country | US
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Telephone | 615-494-3277
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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 | 3701
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License Number State | TN
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