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General NPI Number Information
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NPI Number | 1447579347
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Entity Type | Organization
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Legal Business Name | PAMELA A. DENSON LMT INC.
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 15510 OLD MCGREGOR BLVD
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City | FORT MYERS
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State | FL
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Zip | 33908-2790
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Country | US
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Telephone | 239-454-3252
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Fax |
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Provider Business Mailing Address
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Address Line | 15510 OLD MCGREGOR BLVD
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City | FORT MYERS
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State | FL
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Zip | 33908-2790
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Country | US
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Telephone | 239-454-3252
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PAMELA A. DENSON
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Credential | LMT
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Telephone | 239-454-3252
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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 | MA15041
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License Number State | FL
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