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General NPI Number Information
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NPI Number | 1255110359
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Entity Type | Individual
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Provider Name | JOY ANN THOMPSON LMT, CLT
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Gender | Female
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 11010 WARWICK BLVD STE 2-B
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-3222
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Country | US
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Telephone | 757-806-6808
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Fax |
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Provider Business Mailing Address
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Address Line | 2929 CHESAPEAKE AVE
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City | HAMPTON
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State | VA
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Zip | 23661-3450
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Country | US
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Telephone | 757-679-8349
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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 | 0019007495
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License Number State | VA
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