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General NPI Number Information
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NPI Number | 1578245023
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Entity Type | Individual
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Provider Name | MISS PAULA LOSADA
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Gender | Female
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 4300 N UNIVERSITY DR
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City | LAUDERHILL
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State | FL
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Zip | 33351-6249
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Country | US
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Telephone | 786-532-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 22403 CERVANTES LN
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City | BOCA RATON
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State | FL
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Zip | 33428-6101
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Country | US
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Telephone | 178-653-2599
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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 | MA92066
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License Number State | FL
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