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General NPI Number Information
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NPI Number | 1447873047
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Entity Type | Individual
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Provider Name | MICHELLE BRIGGS RN/LMT
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Gender | Female
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 345 E ROBERTSON ST
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City | BRANDON
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State | FL
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Zip | 33511-5253
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Country | US
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Telephone | 813-657-9590
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Fax |
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Provider Business Mailing Address
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Address Line | 518 OLE PLANTATION DR
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City | BRANDON
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State | FL
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Zip | 33511-5932
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Country | US
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Telephone | 813-952-0739
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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 | MA205858
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License Number State |
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