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General NPI Number Information
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NPI Number | 1588088991
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Entity Type | Individual
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Provider Name | NANCY DAIL LMT
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Gender | Female
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 99 MOOSE MEADOW LN
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City | WALDOBORO
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State | ME
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Zip | 04572-0024
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Country | US
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Telephone | 207-832-5531
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Fax | 207-832-0504
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Provider Business Mailing Address
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Address Line | PO BOX 24
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City | WALDOBORO
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State | ME
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Zip | 04572-0024
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Country | US
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Telephone | 207-832-5531
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Fax | 207-832-0504
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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 | MT18
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License Number State | ME
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