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General NPI Number Information
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NPI Number | 1124200639
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Entity Type | Organization
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Legal Business Name | HEAD TO TOE MASSAGE AND SPA
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 150 N US HIGHWAY 1 STE.3-A
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City | TEQUESTA
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State | FL
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Zip | 33469-2723
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Country | US
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Telephone | 561-748-1026
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Fax |
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Provider Business Mailing Address
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Address Line | 150 N US HIGHWAY 1 STE.3-A
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City | TEQUESTA
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State | FL
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Zip | 33469-2723
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Country | US
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Telephone | 561-748-1026
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MS. ELAINE MARIA YUNDT
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Credential | LMT
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Telephone | 561-748-1026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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