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General NPI Number Information
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NPI Number | 1215878111
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Entity Type | Organization
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Legal Business Name | CLEARWATER ROLFING LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 203 WHISPER LAKE RD
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City | PALM HARBOR
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State | FL
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Zip | 34683-5547
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Country | US
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Telephone | 352-709-6537
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Fax |
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Provider Business Mailing Address
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Address Line | 203 WHISPER LAKE RD
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City | PALM HARBOR
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State | FL
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Zip | 34683-5547
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Country | US
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Telephone | 352-709-6537
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | QAESAR EL HAJ
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Credential |
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Telephone | 352-709-6537
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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 |
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License Number State |
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