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General NPI Number Information
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NPI Number | 1982974838
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Entity Type | Organization
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Legal Business Name | ORGANIC ERGONOMICS
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 1712 WILROY RD
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City | SUFFOLK
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State | VA
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Zip | 23434-2318
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Country | US
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Telephone | 757-538-0209
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Fax | 757-538-0238
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Provider Business Mailing Address
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Address Line | 1712 WILROY RD
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City | SUFFOLK
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State | VA
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Zip | 23434-2318
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Country | US
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Telephone | 757-538-0209
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Fax | 757-538-0238
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JOSIE S. MAPP
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Credential |
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Telephone | 757-538-0209
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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 | VA
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