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General NPI Number Information
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NPI Number | 1962343681
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Entity Type | Individual
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Provider Name | JILLIAN T EICHHORN LMT
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Gender | Female
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 905 W 11 MILE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-3103
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Country | US
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Telephone | 734-224-5471
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 CHEROKEE AVE
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City | ROYAL OAK
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State | MI
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Zip | 48067-3384
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Country | US
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Telephone |
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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 | 7501017190
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License Number State | MI
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