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General NPI Number Information
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NPI Number | 1437003852
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Entity Type | Individual
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Provider Name | JOY CHRISTINE IMBEAULT LMT
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Gender | Female
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 4721 E MOODY BLVD STE 101
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City | BUNNELL
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State | FL
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Zip | 32110-7706
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Country | US
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Telephone | 386-437-7111
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Fax | 386-437-7790
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Provider Business Mailing Address
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Address Line | 19 PRITCHARD DR
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City | PALM COAST
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State | FL
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Zip | 32164-7182
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Country | US
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Telephone | 386-585-5415
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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 | MA106008
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License Number State | FL
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