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General NPI Number Information
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NPI Number | 1043164346
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Entity Type | Organization
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Legal Business Name | OSCEOLA THERAPEUTIC WELLNESS CENTER
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 200 N JOHN YOUNG PKWY STE 201
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City | KISSIMMEE
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State | FL
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Zip | 34741-6601
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Country | US
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Telephone | 407-574-0792
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Fax | 407-201-7298
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Provider Business Mailing Address
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Address Line | 200 N JOHN YOUNG PKWY STE 201
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City | KISSIMMEE
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State | FL
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Zip | 34741-6601
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Country | US
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Telephone | 407-574-0792
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Fax | 407-201-7298
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | ELIZABETH ROSALIE ADAMS
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Credential | LMT
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Telephone | 407-574-0792
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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 |
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License Number State |
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