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General NPI Number Information
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NPI Number | 1982808515
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Entity Type | Individual
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Provider Name | LISA MARIE DUBETZ LMT
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 02/08/2025
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Provider Practice Location Address
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Address Line | 421 GRAHAM RD STE H
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-1344
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Country | US
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Telephone | 330-620-5044
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Fax |
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Provider Business Mailing Address
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Address Line | 3533 BENT TREE LN
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City | STOW
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State | OH
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Zip | 44224-2969
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Country | US
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Telephone | 330-620-5044
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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 | OH
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 33.015213
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License Number State | OH
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