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General NPI Number Information
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NPI Number | 1679345599
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Entity Type | Individual
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Provider Name | DANIELLE DECROIX LMBT NC17092
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Gender | Female
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 263 HAYWOOD ST STE 102
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City | ASHEVILLE
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State | NC
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Zip | 28801-2629
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Country | US
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Telephone | 828-263-4533
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Fax |
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Provider Business Mailing Address
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Address Line | 645 FLINT HILL RD UNIT B
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City | ALEXANDER
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State | NC
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Zip | 28701-9656
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Country | US
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Telephone | 217-416-9921
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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 | 17092
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License Number State | NC
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