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NPI 1972883866

NPI 1972883866 : PATRICIA ALDRICH DN, LMT : LAKE ORION, MI

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General NPI Number Information
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    NPI Number           |    1972883866
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA ALDRICH DN, LMT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/23/2011
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    Last Update Date     |    08/23/2011
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Provider Practice Location Address
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    Address Line         |    1971 W SILVERBELL RD 
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    City                 |    LAKE ORION
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    State                |    MI
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    Zip                  |    48359-1248
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    Country              |    US
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    Telephone            |    248-393-8633
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1971 W SILVERBELL RD 
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    City                 |    LAKE ORION
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    State                |    MI
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    Zip                  |    48359-1248
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    Country              |    US
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    Telephone            |    248-393-8633
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    62262108
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    License Number State |    AZ
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Taxonomy #2
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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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