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General NPI Number Information
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NPI Number | 1871867986
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Entity Type | Individual
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Provider Name | MS. LISA A KLUTTZ
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Gender | Female
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 216 COGGINS AVE
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City | ALBEMARLE
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State | NC
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Zip | 28001-5118
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Country | US
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Telephone | 704-750-9335
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Fax | 877-239-8685
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Provider Business Mailing Address
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Address Line | 216 COGGINS AVE
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City | ALBEMARLE
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State | NC
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Zip | 28001-5118
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Country | US
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Telephone | 704-750-9335
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Fax | 877-239-8685
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1744G0900X
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Taxonomy Name | Graphics Designer
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1744R1103X
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Taxonomy Name | Research Study Abstracter/Coder
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License Number |
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License Number State | NC
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