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General NPI Number Information
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NPI Number | 1528535333
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Entity Type | Individual
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Provider Name | LIANNY BARRERAS MA
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Gender | Female
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 2650 BAHIA VISTA ST STE 309
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City | SARASOTA
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State | FL
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Zip | 34239-2634
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Country | US
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Telephone | 941-953-3700
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Fax | 941-953-3770
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Provider Business Mailing Address
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Address Line | 3403 MONICA PKWY
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City | SARASOTA
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State | FL
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Zip | 34235-8843
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Country | US
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Telephone | 941-879-5121
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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 | MA90503
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License Number State | FL
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