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General NPI Number Information
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NPI Number | 1033688775
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Entity Type | Individual
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Provider Name | BEKIM SELMANI LMT
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Gender | Male
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Dates
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Enumeration Date | 11/23/2018
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Last Update Date | 11/23/2018
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Provider Practice Location Address
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Address Line | 246 FEDERAL RD
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City | BROOKFIELD
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State | CT
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Zip | 06804-2647
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Country | US
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Telephone | 203-788-5943
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Fax |
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Provider Business Mailing Address
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Address Line | 21 TAUNTON LN
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City | NEWTOWN
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State | CT
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Zip | 06470-1420
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Country | US
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Telephone | 203-788-5943
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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 | 009637
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License Number State | CT
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