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General NPI Number Information
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NPI Number | 1235096793
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Entity Type | Individual
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Provider Name | YUSIMIT VEGA MACHIN
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 3118 61ST ST W
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-1598
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Country | US
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Telephone | 305-303-0708
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Fax |
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Provider Business Mailing Address
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Address Line | 3118 61ST ST W
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-1598
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Country | US
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Telephone |
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 127218
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA108489
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License Number State | FL
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