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General NPI Number Information
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NPI Number | 1497416473
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Entity Type | Individual
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Provider Name | YULAY E CASEY MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 6539 LAS VEGAS BLVD S
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City | LAS VEGAS
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State | NV
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Zip | 89119-3222
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Country | US
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Telephone | 347-499-0779
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Fax |
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Provider Business Mailing Address
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Address Line | 9897 PANTHER HOLLOW ST
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City | LAS VEGAS
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State | NV
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Zip | 89141-8723
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Country | US
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Telephone | 347-499-0779
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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 | 11080
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License Number State | NV
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