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General NPI Number Information
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NPI Number | 1528355948
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Entity Type | Individual
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Provider Name | TRACY J GODWIN SR. L.M.T.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 07/07/2011
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Provider Practice Location Address
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Address Line | 211 S OCEAN BLVD PLAZA DEL MAR
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City | LANTANA
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State | FL
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Zip | 33462-3312
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Country | US
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Telephone | 561-533-9772
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Fax | 561-533-9799
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Provider Business Mailing Address
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Address Line | 211 S OCEAN BLVD PLAZA DEL MAR
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City | LANTANA
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State | FL
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Zip | 33462-3312
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Country | US
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Telephone | 561-533-9772
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Fax | 561-533-9799
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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 |
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License Number State |
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