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General NPI Number Information
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NPI Number | 1427226331
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Entity Type | Individual
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Provider Name | STACY L NARCISSE LICENSED MASSAGE THE
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Gender | Female
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 1852 N NOB HILL RD
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City | PLANTATION
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State | FL
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Zip | 33317
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Country | US
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Telephone | 954-476-6401
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Fax |
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Provider Business Mailing Address
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Address Line | 6919 W BROWARD BLVD # 183
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City | PLANTATION
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State | FL
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Zip | 33317-2902
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Country | US
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Telephone | 954-476-6401
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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 | MA22839
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License Number State | FL
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