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General NPI Number Information
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NPI Number | 1013206432
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Entity Type | Individual
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Provider Name | JERRI LYNN HALFERTY L.M.T.;N.M.T.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 1910 ROBINHOOD ST STE C
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City | SARASOTA
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State | FL
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Zip | 34231-3620
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Country | US
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Telephone | 941-302-1758
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Fax | 941-365-5918
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Provider Business Mailing Address
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Address Line | 1910 ROBINHOOD ST STE C
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City | SARASOTA
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State | FL
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Zip | 34231-3620
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Country | US
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Telephone | 941-302-1758
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Fax | 941-365-5918
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | MA45639
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License Number State | FL
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