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General NPI Number Information
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NPI Number | 1962660142
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Entity Type | Individual
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Provider Name | CAROLINE MISENHEIMER CONNOLLY LMBT, NCMBT
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Gender | Female
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Dates
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Enumeration Date | 05/24/2008
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Last Update Date | 05/24/2008
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Provider Practice Location Address
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Address Line | 605 LYNNDALE CT SUITE D
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City | GREENVILLE
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State | NC
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Zip | 27858-5449
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Country | US
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Telephone | 252-414-3552
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Fax |
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Provider Business Mailing Address
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Address Line | 4420 OAKSONG DR
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City | GREENVILLE
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State | NC
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Zip | 27834-0512
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Country | US
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Telephone | 252-414-3552
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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 | 7021
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License Number State | NC
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