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General NPI Number Information
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NPI Number | 1104409226
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Entity Type | Individual
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Provider Name | MRS. MILHAIRY SALISHA MUNIZ
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Gender | Female
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | CARR. 110 KM 3.5 EDIF. DR. VALE COLON
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City | MOCA
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State | PR
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Zip | 00676
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Country | US
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Telephone | 939-232-3806
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Fax |
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Provider Business Mailing Address
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Address Line | RR 4 BOX 5413
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City | ANASCO
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State | PR
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Zip | 00610-9565
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Country | US
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Telephone | 939-238-3806
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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 | 0080
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License Number State | PR
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