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General NPI Number Information
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NPI Number | 1083959043
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Entity Type | Individual
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Provider Name | LORI JANE DAY C.M.T., M.M.P.
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Gender | Female
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 758 TYVOLA ROAD
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City | CHARLOTTE
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State | NC
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Zip | 28217
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Country | US
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Telephone | 919-867-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 1854 BOBWHITE RD.
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City | HEALTH SPRINGS
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State | SC
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Zip | 29058
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Country | US
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Telephone | 619-857-4677
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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 | 15123
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License Number State | CA
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