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General NPI Number Information
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NPI Number | 1972077998
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Entity Type | Individual
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Provider Name | REBECCA MICHELLE ZEMEL LMT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2019
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Last Update Date | 01/12/2019
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Provider Practice Location Address
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Address Line | 815 MAIN ST STE 17
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-1473
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Country | US
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Telephone | 269-930-2611
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Fax |
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Provider Business Mailing Address
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Address Line | 2724 TERRITORIAL RD
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City | BENTON HARBOR
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State | MI
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Zip | 49022-7758
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Country | US
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Telephone | 269-930-2611
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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 | 7501011025
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License Number State | MI
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