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General NPI Number Information
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NPI Number | 1093648255
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Entity Type | Individual
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Provider Name | MANDY SASLONA LMT
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Gender | Female
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Dates
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Enumeration Date | 06/06/2026
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Last Update Date | 06/06/2026
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Provider Practice Location Address
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Address Line | 1022 PARK ST STE 204
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City | JACKSONVILLE
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State | FL
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Zip | 32204-3914
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Country | US
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Telephone | 702-305-9757
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Fax |
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Provider Business Mailing Address
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Address Line | 5565 COUNTY ROAD 352
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City | KEYSTONE HEIGHTS
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State | FL
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Zip | 32656-7741
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Country | US
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Telephone | 702-305-9757
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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 | MA107738
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License Number State | FL
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