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General NPI Number Information
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NPI Number | 1275818403
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Entity Type | Individual
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Provider Name | OSMEL A PADROZA MA
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Gender | Male
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 21 ARLINGTON RD N STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32211-7866
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Country | US
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Telephone | 904-379-0600
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Fax | 904-379-0864
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Provider Business Mailing Address
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Address Line | 21 ARLINGTON RD N STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32211-7866
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Country | US
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Telephone | 904-379-0600
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Fax | 904-379-0864
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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 | MA62936
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License Number State | FL
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