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General NPI Number Information
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NPI Number | 1629201835
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Entity Type | Individual
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Provider Name | LEXI DAWN TUBBS LMT
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Gender | Female
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 416 MILLERSBURG RD
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City | PARIS
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State | KY
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Zip | 40361-2145
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Country | US
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Telephone | 859-987-6058
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Fax |
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Provider Business Mailing Address
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Address Line | 1237 ARLINGTON DR
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City | PARIS
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State | KY
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Zip | 40361-2200
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Country | US
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Telephone | 859-707-0326
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | KY
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Taxonomy #2
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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 | KY
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