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General NPI Number Information
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NPI Number | 1497608012
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Entity Type | Individual
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Provider Name | GUILLERMO MORALES LMT
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Gender | Male
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 35 E GRASSY SPRAIN RD STE 301
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City | YONKERS
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State | NY
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Zip | 10710-4600
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Country | US
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Telephone | 917-300-9846
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Fax | 646-838-3994
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Provider Business Mailing Address
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Address Line | 31 GRAMERCY PARK S APT 1A
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City | NEW YORK
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State | NY
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Zip | 10003-1771
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Country | US
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Telephone | 516-497-8054
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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 | 010976
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License Number State | NY
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