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General NPI Number Information
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NPI Number | 1255053773
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Entity Type | Individual
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Provider Name | CHANTELL VEIRA LMT
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 2717 E OAKLAND PARK BLVD STE 201
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306
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Country | US
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Telephone | 754-229-0653
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 220482
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City | HOLLYWOOD
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State | FL
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Zip | 33022-0482
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Country | US
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Telephone | 786-344-2815
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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 | 90221
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License Number State | FL
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