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General NPI Number Information
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NPI Number | 1578139390
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Entity Type | Individual
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Provider Name | MARY ELIZABETH LEMONS LMT
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Gender | Female
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 20 BOBBYS WAY STE 108
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City | STAUNTON
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State | VA
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Zip | 24401-4461
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Country | US
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Telephone | 540-448-4250
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 UNION CHURCH RD
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City | CHURCHVILLE
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State | VA
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Zip | 24421-2221
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Country | US
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Telephone | 540-448-4250
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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 | 0019004987
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License Number State | VA
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