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General NPI Number Information
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NPI Number | 1346912201
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Entity Type | Individual
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Provider Name | PAULA SERRANO
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 550 BALMORAL CIR N STE 203
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City | JACKSONVILLE
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State | FL
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Zip | 32218-5577
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Country | US
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Telephone | 561-951-0914
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Fax |
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Provider Business Mailing Address
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Address Line | 300 INTERNATIONAL PKWY STE 200
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City | LAKE MARY
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State | FL
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Zip | 32746-5028
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Country | US
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Telephone | 866-610-0580
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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 | MA76388
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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