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General NPI Number Information
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NPI Number | 1356794309
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Entity Type | Individual
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Provider Name | JANE DACUNHA MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 5440 PARK CENTRAL CT 2
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City | NAPLES
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State | FL
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Zip | 34109-6003
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Country | US
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Telephone | 239-777-6024
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Fax | 239-734-3068
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Provider Business Mailing Address
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Address Line | 809 PALM VIEW DR
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City | NAPLES
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State | FL
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Zip | 34110-1241
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Country | US
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Telephone | 239-777-6024
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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 | 73980
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License Number State | FL
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