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General NPI Number Information
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NPI Number | 1104070440
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Entity Type | Individual
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Provider Name | KATHLEEN A LASHUA LMT, CRT, NMT, CMMP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 6981 CURTISS AVE SUITE #3
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City | SARASOTA
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State | FL
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Zip | 34231-8100
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Country | US
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Telephone | 941-923-7248
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21521
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City | SARASOTA
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State | FL
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Zip | 34276-4521
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Country | US
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Telephone | 941-780-1654
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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 | MA43233
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License Number State | FL
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