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General NPI Number Information
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NPI Number | 1760917082
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Entity Type | Organization
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Legal Business Name | GREENFIELD INC
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 4 ALPINE WAY
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City | ASHEVILLE
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State | NC
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Zip | 28805-1536
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Country | US
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Telephone | 828-775-9174
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1273
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City | ASHEVILLE
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State | NC
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Zip | 28802-1273
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Country | US
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Telephone | 828-775-9174
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTIONER
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Name | MR. EDWARD GREENFIELD CORTRIGHT III
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Credential | L.M.B.T.
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Telephone | 828-775-9174
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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 | 16064
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License Number State | NC
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