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General NPI Number Information
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NPI Number | 1386670651
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Entity Type | Individual
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Provider Name | JOSE J. GRAVIER SR. MASSAGE THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 1800 SW 1ST ST STE 216
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City | MIAMI
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State | FL
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Zip | 33135-1945
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Country | US
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Telephone | 305-646-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 2331 SW 6TH ST
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City | MIAMI
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State | FL
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Zip | 33135-3109
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Country | US
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Telephone | 305-541-4725
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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 | MA8598
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License Number State | FL
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