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General NPI Number Information
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NPI Number | 1003024506
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Entity Type | Individual
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Provider Name | SANDRA FUHRMANN L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 555 W GRANADA BLVD SUITE G6
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City | ORMOND BEACH
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State | FL
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Zip | 32174-9485
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Country | US
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Telephone | 386-677-7123
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Fax | 386-677-2321
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Provider Business Mailing Address
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Address Line | 1080 N US HIGHWAY 1 #117
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City | ORMOND BEACH
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State | FL
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Zip | 32174-1916
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Country | US
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Telephone | 239-398-5558
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA33666
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License Number State | FL
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