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General NPI Number Information
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NPI Number | 1073885927
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Entity Type | Individual
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Provider Name | GINGER A. COX LMT, CLT
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Gender | Female
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 112 W NEW YORK AVE SUITE 202
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City | DELAND
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State | FL
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Zip | 32720-5451
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Country | US
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Telephone | 386-785-6068
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Fax | 386-736-6684
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Provider Business Mailing Address
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Address Line | 1221 LUCIE AVENUE 121 LUCIE AVENUE
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City | DE LAND
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State | FL
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Zip | 32720-3918
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Country | US
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Telephone | 386-785-6068
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Fax | 386-736-6684
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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 | 14516
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License Number State | FL
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