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General NPI Number Information
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NPI Number | 1023388576
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Entity Type | Organization
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Legal Business Name | SAPPHIRE MASSAGE CENTER CORP
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Dates
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Enumeration Date | 12/30/2011
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 1840 W 49TH ST SUITE# 514
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-556-6885
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Fax | 305-556-6882
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Provider Business Mailing Address
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Address Line | 1840 W 49TH ST SUITE# 514
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-556-6885
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Fax | 305-556-6882
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRIA SANTINI
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Credential | LMT
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Telephone | 305-556-6885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MM 27313
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License Number State | FL
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