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General NPI Number Information
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NPI Number | 1629716402
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Entity Type | Individual
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Provider Name | PAMELA DAVIS-REEVES LMT
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Gender | Female
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 1201 RALEIGH RD STE 201
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City | CHAPEL HILL
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State | NC
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Zip | 27517-4047
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Country | US
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Telephone | 919-537-9620
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Fax |
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Provider Business Mailing Address
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Address Line | 101 EUGENE ST APT B
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City | CARRBORO
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State | NC
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Zip | 27510-2380
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Country | US
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Telephone | 919-306-3964
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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 | 19424
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License Number State | NC
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