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General NPI Number Information
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NPI Number | 1609120989
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Entity Type | Individual
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Provider Name | LAVET E WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 5275 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32812-8741
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Country | US
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Telephone | 407-730-3980
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Fax | 407-730-3981
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Provider Business Mailing Address
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Address Line | 519 SUNSET DR
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City | ORLANDO
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State | FL
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Zip | 32805-3038
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Country | US
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Telephone | 321-474-2148
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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 | MA66952
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License Number State | FL
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