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General NPI Number Information
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NPI Number | 1134943046
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Entity Type | Individual
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Provider Name | ASHLEE SHEPHERD MAYO LMT
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Gender | Female
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 35 PARKWOOD DR LBBY C
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City | HOPKINTON
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State | MA
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Zip | 01748-1699
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Country | US
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Telephone | 508-810-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 34 CENTRAL ST # 1F
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City | WEST BOYLSTON
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State | MA
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Zip | 01583-1665
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Country | US
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Telephone | 337-704-8173
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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 | 17089
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License Number State | MA
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