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General NPI Number Information
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NPI Number | 1144776493
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Entity Type | Individual
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Provider Name | ANNA LAMPKE LMT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 1156 EBENEZER RD
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City | ROCK HILL
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State | SC
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Zip | 29732-3068
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Country | US
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Telephone | 704-796-8471
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Fax |
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Provider Business Mailing Address
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Address Line | 1471 GREENWOOD LN
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City | ROCK HILL
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State | SC
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Zip | 29730-3223
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Country | US
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Telephone | 704-796-8471
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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 | 14576
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 10161
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License Number State | SC
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