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General NPI Number Information
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NPI Number | 1598898850
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Entity Type | Organization
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Legal Business Name | HEALTHY LYMPHATICS INC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 518 SE OSCEOLA ST
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City | STUART
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State | FL
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Zip | 34994-2322
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Country | US
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Telephone | 772-408-4848
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Fax | 772-408-0978
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Provider Business Mailing Address
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Address Line | 479 NW PRIMA VISTA BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-8731
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Country | US
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Telephone | 772-408-4848
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Fax | 772-408-0978
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Authorized Official
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Title or Position | OWNER
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Name | MS. CARMEN MARIA ALBU
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Credential | MOTR
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Telephone | 772-408-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | OT8297
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License Number State | FL
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