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General NPI Number Information
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NPI Number | 1194951772
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Entity Type | Individual
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Provider Name | LISA GAY SCHUTZE LMT
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Gender | Female
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 03/13/2011
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Provider Practice Location Address
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Address Line | 5628 SE WINDSONG LN BY APPT.ONLY
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City | STUART
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State | FL
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Zip | 34997-8217
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Country | US
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Telephone | 772-341-5472
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 446
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City | PORT SALERNO
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State | FL
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Zip | 34992-0446
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Country | US
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Telephone | 772-341-5472
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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 | MA 49289
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License Number State | FL
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