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General NPI Number Information
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NPI Number | 1376717280
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Entity Type | Individual
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Provider Name | ANDREA BOOKER GAY L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 12912 HILL COUNTRY BLVD SUITE F-220
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City | BEE CAVES
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State | TX
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Zip | 78738-6328
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Country | US
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Telephone | 512-944-6512
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Fax |
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Provider Business Mailing Address
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Address Line | 5836 BACK BAY LN
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City | AUSTIN
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State | TX
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Zip | 78739-1697
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Country | US
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Telephone | 512-899-2437
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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 | MA53052
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT106745
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License Number State | TX
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