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General NPI Number Information
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NPI Number | 1548493679
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Entity Type | Organization
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Legal Business Name | BEING IN TOUCH, INC
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 1189 SW 26TH AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-3017
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Country | US
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Telephone | 954-558-2002
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Fax | 954-797-0331
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Provider Business Mailing Address
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Address Line | PO BOX 246764
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-0129
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Country | US
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Telephone | 954-558-2002
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Fax | 954-797-0331
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR
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Name | MS. MONIQUE P BLAKE
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Credential | LMT
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Telephone | 954-558-2002
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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 | MA23465
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License Number State | FL
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