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General NPI Number Information
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NPI Number | 1881306330
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Entity Type | Individual
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Provider Name | NATOYA LACY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 13620 REESE BLVD E STE 130
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-6418
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Country | US
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Telephone | 704-274-5795
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 TRAILSIDE PL APT 1201
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City | MATTHEWS
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State | NC
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Zip | 28104-8768
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Country | US
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Telephone | 910-528-1431
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P24526
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License Number State | NC
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