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General NPI Number Information
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NPI Number | 1275487472
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Entity Type | Individual
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Provider Name | RAQUEL E CRUZ
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Gender | Female
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 1601 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-1135
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Country | US
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Telephone | 800-324-8387
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Fax |
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Provider Business Mailing Address
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Address Line | 14722 NW 142ND TER
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City | ALACHUA
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State | FL
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Zip | 32615-8610
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Country | US
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Telephone | 352-660-3090
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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 | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | 9588306
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License Number State | FL
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