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NPI 1225507783

NPI 1225507783 : ROSEMARY LYNN HURLEY LMT, CST-D : DAVIE, FL

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General NPI Number Information
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    NPI Number           |    1225507783
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    Entity Type          |    Individual 
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    Provider Name        |    ROSEMARY LYNN HURLEY LMT, CST-D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/14/2018
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    Last Update Date     |    12/16/2025
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Provider Practice Location Address
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    Address Line         |    6100 GRIFFIN RD STE 339 
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    City                 |    DAVIE
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    State                |    FL
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    Zip                  |    33314-4416
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    Country              |    US
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    Telephone            |    754-800-5246
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11820 SW 20TH ST 
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    City                 |    DAVIE
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    State                |    FL
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    Zip                  |    33325-4600
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    Country              |    US
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    Telephone            |    954-290-1838
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    Fax                  |    954-236-5053
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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       |    MA75481
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    License Number State |    FL
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