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General NPI Number Information
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NPI Number | 1124397468
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Entity Type | Individual
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Provider Name | YVONNE SALTER LMT
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Gender | Female
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 1198 GULF BREEZE PKWY STE 8
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City | GULF BREEZE
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State | FL
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Zip | 32561-4850
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Country | US
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Telephone | 850-281-0158
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Fax | 850-623-1145
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Provider Business Mailing Address
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Address Line | 5751 TRULUCK AVE
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City | MILTON
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State | FL
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Zip | 32570-8260
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Country | US
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Telephone | 850-281-0158
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Fax | 850-623-1145
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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 | 65358
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License Number State | FL
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