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General NPI Number Information
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NPI Number | 1205673423
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Entity Type | Individual
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Provider Name | ANISLEYDI ALVAREZ
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Gender | Female
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Dates
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Enumeration Date | 07/15/2024
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 7181 COLLEGE PKWY STE 16
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City | FORT MYERS
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State | FL
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Zip | 33907-5642
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Country | US
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Telephone | 239-877-6981
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Fax |
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Provider Business Mailing Address
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Address Line | 1055 SE 11TH ST
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City | CAPE CORAL
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State | FL
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Zip | 33990-3044
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Country | US
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Telephone | 786-725-1562
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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 | MA99978
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License Number State | FL
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