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General NPI Number Information
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NPI Number | 1043576044
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Entity Type | Organization
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Legal Business Name | RACHEL MASSAGE CORP
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 1546 SW 4TH ST APT 4
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City | MIAMI
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State | FL
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Zip | 33135-3663
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Country | US
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Telephone | 130-574-7526
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Fax |
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Provider Business Mailing Address
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Address Line | 1546 SW 4TH ST APT 4
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City | MIAMI
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State | FL
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Zip | 33135-3663
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Country | US
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Telephone | 130-574-7526
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. RAQUEL ALEMAN
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Credential | MA61661
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Telephone | 305-747-5266
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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 | MA61661
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License Number State | FL
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