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General NPI Number Information
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NPI Number | 1326279134
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Entity Type | Individual
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Provider Name | FAITHEA A BIRON LMT,NMT
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 2426 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34239-6350
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Country | US
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Telephone | 941-737-9524
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Fax | 941-927-5522
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Provider Business Mailing Address
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Address Line | 2426 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34239-6350
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Country | US
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Telephone | 941-737-9524
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Fax | 941-927-5522
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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 | MA47779
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License Number State | FL
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