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General NPI Number Information
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NPI Number | 1891444295
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Entity Type | Individual
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Provider Name | LISA LAFALIER CMT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 709 4TH ST
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City | OSWEGO
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State | KS
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Zip | 67356-1601
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Country | US
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Telephone | 620-404-8074
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Fax |
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Provider Business Mailing Address
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Address Line | 709 4TH ST
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City | OSWEGO
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State | KS
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Zip | 67356-1601
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Country | US
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Telephone | 620-404-8074
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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 | D7T5T73IV1
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License Number State | KS
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