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General NPI Number Information
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NPI Number | 1467968131
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Entity Type | Individual
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Provider Name | ALISON R GERARDI LMT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2017
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Last Update Date | 12/18/2017
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Provider Practice Location Address
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Address Line | 2802 TERRA CEIA BAY BLVD
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City | PALMETTO
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State | FL
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Zip | 34221-5957
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Country | US
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Telephone | 518-598-6305
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Fax |
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Provider Business Mailing Address
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Address Line | 3204 70TH CT E
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City | PALMETTO
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State | FL
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Zip | 34221-7387
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Country | US
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Telephone |
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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 | 88129
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License Number State | FL
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