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General NPI Number Information
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NPI Number | 1639575574
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Entity Type | Individual
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Provider Name | MICHELLE MARIE BESSETTE LMT
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Gender | Female
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 5255 OCEAN BLVD
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City | SARASOTA
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State | FL
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Zip | 34242-3310
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Country | US
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Telephone | 941-349-6699
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 COCHISE TER
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City | SARASOTA
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State | FL
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Zip | 34233-1530
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Country | US
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Telephone | 941-545-8987
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 32618
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License Number State | FL
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