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General NPI Number Information
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NPI Number | 1326275504
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Entity Type | Individual
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Provider Name | AYANA KAI GASTON L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1 BROADCAST PLZ STE 1
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City | MERRICK
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State | NY
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Zip | 11566-3467
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Country | US
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Telephone | 516-218-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 215 W FULTON AVE
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City | ROOSEVELT
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State | NY
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Zip | 11575-1926
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Country | US
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Telephone | 516-578-2136
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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 | 020947
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License Number State | NY
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