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General NPI Number Information
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NPI Number | 1861840050
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Entity Type | Individual
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Provider Name | CHERYL BILLINGS LMT
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Gender | Female
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Dates
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Enumeration Date | 05/27/2016
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Last Update Date | 05/27/2016
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Provider Practice Location Address
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Address Line | 2108 MCCULLOCH BLVD N
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-6665
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Country | US
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Telephone | 843-222-2028
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Fax |
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Provider Business Mailing Address
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Address Line | 2706 WIDGEON LN
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-5143
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Country | US
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Telephone | 843-222-2028
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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 | MT-19888
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License Number State | AZ
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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 | MAS.3050
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License Number State | SC
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