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General NPI Number Information
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NPI Number | 1073306445
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Entity Type | Individual
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Provider Name | MONICA LIRA LMT
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1410 HALSELL ST
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City | BRIDGEPORT
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State | TX
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Zip | 76426-3155
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Country | US
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Telephone | 940-799-9315
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 FM 1810
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City | CHICO
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State | TX
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Zip | 76431-4014
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Country | US
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Telephone | 940-577-2552
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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 |
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