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General NPI Number Information
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NPI Number | 1518690833
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Entity Type | Individual
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Provider Name | MR. GABRIEL SAAVEDRA
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Gender | Male
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 10072 E BAY HARBOR DR # 72C
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-1530
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Country | US
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Telephone | 786-769-4336
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Fax |
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Provider Business Mailing Address
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Address Line | 10072 E BAY HARBOR DR # 72C
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-1530
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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 | MA54734
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License Number State | FL
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