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General NPI Number Information
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NPI Number | 1689288300
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Entity Type | Individual
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Provider Name | BARBARA A CROTTY LMT
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Gender | Female
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 2879C ROB SHEPARD DR
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City | BURLINGTON
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State | NC
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Zip | 27215-9299
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Country | US
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Telephone | 336-686-0818
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 117
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City | WHITSETT
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State | NC
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Zip | 27377-0117
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Country | US
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Telephone | 336-686-0818
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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 | 16918
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License Number State | NC
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