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General NPI Number Information
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NPI Number | 1235449406
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Entity Type | Individual
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Provider Name | YVETTE CAMPOT LMT
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Gender | Female
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 373 GRANITE ST
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City | QUINCY
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State | MA
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Zip | 02169-4955
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Country | US
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Telephone | 781-630-0081
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Fax | 617-657-6799
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Provider Business Mailing Address
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Address Line | 373 GRANITE ST
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City | QUINCY
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State | MA
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Zip | 02169-4955
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Country | US
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Telephone | 781-630-0081
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Fax | 617-657-6799
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | 7474
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License Number State | MA
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