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General NPI Number Information
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NPI Number | 1578179867
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Entity Type | Individual
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Provider Name | MURIELLE NELSON FRANK
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Gender | Female
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 1835 E HALLANDALE BEACH BLVD # 516
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4619
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Country | US
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Telephone | 954-708-7563
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 E HALLANDALE BEACH BLVD # 516
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4619
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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 | MA43093
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License Number State | FL
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