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General NPI Number Information
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NPI Number | 1053529222
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Entity Type | Organization
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Legal Business Name | THE FORD GROUP, LMT
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 555 W GRANADA BLVD SUITE G6
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City | ORMOND BEACH
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State | FL
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Zip | 32174-9485
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Country | US
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Telephone | 386-677-7123
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Fax |
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Provider Business Mailing Address
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Address Line | 17 REMINGTON RD
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City | ORMOND BEACH
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State | FL
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Zip | 32174-2528
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Country | US
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Telephone | 386-437-4221
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Fax |
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Authorized Official
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Title or Position | OWNER, MASSAGE THERAPIST
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Name | MRS. AURORA JOY FORD
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Credential | LMT
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Telephone | 13866797577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 07-20029
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License Number State | FL
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