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General NPI Number Information
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NPI Number | 1457759516
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Entity Type | Individual
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Provider Name | YVETTE MORALES L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 12/06/2014
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Provider Practice Location Address
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Address Line | 226 E 54TH ST STE 501
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City | NEW YORK
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State | NY
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Zip | 10022-4854
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Country | US
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Telephone | 917-244-7250
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Fax |
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Provider Business Mailing Address
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Address Line | 3070 48TH ST APT 2F
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City | LONG ISLAND CITY
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State | NY
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Zip | 11103-1538
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Country | US
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Telephone | 917-244-7250
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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 | 012137
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License Number State | NY
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