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General NPI Number Information
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NPI Number | 1578743738
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Entity Type | Individual
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Provider Name | LINDA G METZGER LMT, NCTMB
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Gender | Female
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 22 W POLK AVE
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City | LAKE WALES
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State | FL
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Zip | 33853-4126
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Country | US
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Telephone | 863-679-1401
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Fax | 863-679-1401
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Provider Business Mailing Address
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Address Line | 4635 OLD BRIDGE TRL
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City | LAKE WALES
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State | FL
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Zip | 33898-5562
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Country | US
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Telephone | 863-696-1829
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Fax | 863-696-7569
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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 | MA40219
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License Number State | FL
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