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NPI 1417860404

NPI 1417860404 : MAYMONT SCHOOL, INC. : MONTGOMERY, AL

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General NPI Number Information
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    NPI Number           |    1417860404
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAYMONT SCHOOL, INC. 
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Dates
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    Enumeration Date     |    09/23/2026
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    Last Update Date     |    09/23/2026
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Provider Practice Location Address
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    Address Line         |    255 WINTON M BLOUNT LOOP 
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    City                 |    MONTGOMERY
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    State                |    AL
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    Zip                  |    36117-3507
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    Country              |    US
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    Telephone            |    334-220-6492
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    Fax                  |    334-398-8009
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Provider Business Mailing Address
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    Address Line         |    255 WINTON M BLOUNT LOOP 
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    City                 |    MONTGOMERY
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    State                |    AL
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    Zip                  |    36117-3507
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    Country              |    US
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    Telephone            |    334-220-6492
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    Fax                  |    334-398-8009
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Authorized Official
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    Title or Position    |    CERTIFIED LYMPHEDEMA THERAPIST
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    Name                 |     KRISTI HENDRICKS DUNCAN 
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    Credential           |    CLT, LMT
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    Telephone            |    334-220-6492
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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       |    
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    License Number State |    
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