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General NPI Number Information
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NPI Number | 1053547216
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Entity Type | Individual
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Provider Name | CINDY L DEWYSOCKIE LMT
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Gender | Female
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 7561 N FEDERAL HWY
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City | BOCA RATON
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State | FL
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Zip | 33487-1603
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Country | US
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Telephone | 561-271-8036
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Fax | 561-819-9908
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Provider Business Mailing Address
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Address Line | 555 SE 6TH AVE APT 12G
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5272
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Country | US
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Telephone | 561-271-8036
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Fax | 561-819-9908
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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 | MA43636
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License Number State | FL
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