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General NPI Number Information
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NPI Number | 1417304585
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Entity Type | Organization
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Legal Business Name | LOIS COX THERAPEUTIC MASSAGE
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 541 E KING ST
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City | KING
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State | NC
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Zip | 27021-9236
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Country | US
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Telephone | 336-549-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 1042 CRIPPLE CREEK LN
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City | PINNACLE
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State | NC
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Zip | 27043-8516
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Country | US
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Telephone | 336-549-4440
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | LOIS COX
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Credential | LMBT
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Telephone | 336-549-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | LMBT 7380
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License Number State | NC
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