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General NPI Number Information
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NPI Number | 1043842180
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Entity Type | Individual
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Provider Name | VICTORIA PATRICIA DUNNE LMT
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Gender | Female
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 165 N. VILLAGE AVE SUITE 128
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City | ROCKVILLE CENTER
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State | NY
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Zip | 11570-1157
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Country | US
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Telephone | 516-164-2222
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Fax | 516-765-3957
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Provider Business Mailing Address
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Address Line | 165 N VILLAGE AVE STE 128
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3763
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Country | US
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Telephone | 516-164-2222
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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 | 024789-01
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License Number State | NY
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