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General NPI Number Information
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NPI Number | 1932791506
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Entity Type | Organization
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Legal Business Name | HEALTHY LYMPHATICS, NC PC
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 113 SCENIC OUTLET LN STE 2
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City | MOUNT AIRY
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State | NC
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Zip | 27030-9978
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Country | US
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Telephone | 828-355-9584
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Fax | 828-355-9689
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Provider Business Mailing Address
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Address Line | 450 NEW MARKET BLVD STE 3
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City | BOONE
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State | NC
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Zip | 28607-5501
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Country | US
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Telephone | 828-355-9584
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Fax | 828-355-9689
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Authorized Official
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Title or Position | OWNER
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Name | CARMEN MARIA ALBU
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Credential |
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Telephone | 828-355-9584
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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