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General NPI Number Information
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NPI Number | 1073993812
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Entity Type | Individual
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Provider Name | JEANIE BAUGHMAN JOYCE LMT
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Gender | Female
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Dates
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Enumeration Date | 06/07/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 145 TRADD ST
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City | SPARTANBURG
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State | SC
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Zip | 29301-5085
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Country | US
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Telephone | 864-804-6395
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Fax | 864-551-2985
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Provider Business Mailing Address
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Address Line | PO BOX 170956
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City | SPARTANBURG
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State | SC
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Zip | 29301-0035
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Country | US
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Telephone | 864-804-6395
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Fax | 864-551-2985
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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 | 8612
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License Number State | SC
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