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General NPI Number Information
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NPI Number | 1629915541
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Entity Type | Individual
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Provider Name | MARTHA REMY
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Gender | Female
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 237 NABOB AVE
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City | LEHIGH ACRES
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State | FL
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Zip | 33974-0514
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Country | US
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Telephone | 914-525-3282
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Fax |
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Provider Business Mailing Address
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Address Line | 25241 ELEMENTARY WAY STE 200
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-7883
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Country | US
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Telephone | 914-525-3282
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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 | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | MA66954
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License Number State | FL
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