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NPI 1417560301

NPI 1417560301 : CINTIA AMSTALDEN GUARDIA NMT, LMT : HIGHLAND BEACH, FL

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General NPI Number Information
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    NPI Number           |    1417560301
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    Entity Type          |    Individual 
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    Provider Name        |    CINTIA AMSTALDEN GUARDIA NMT, LMT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/28/2020
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    Last Update Date     |    08/28/2020
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Provider Practice Location Address
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    Address Line         |    4505 S OCEAN BLVD APT 104 
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    City                 |    HIGHLAND BEACH
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    State                |    FL
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    Zip                  |    33487-4227
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    Country              |    US
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    Telephone            |    786-956-1085
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4505 S OCEAN BLVD APT 104 
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    City                 |    HIGHLAND BEACH
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    State                |    FL
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    Zip                  |    33487-4227
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    Country              |    US
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    Telephone            |    786-956-1085
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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        |    171R00000X
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    Taxonomy Name        |    Interpreter
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    173C00000X
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    Taxonomy Name        |    Reflexologist
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    License Number       |    BRAZIL
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    License Number State |    ZZ
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Taxonomy #3
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MA79911
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    License Number State |    FL
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