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General NPI Number Information
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NPI Number | 1639920812
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Entity Type | Individual
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Provider Name | ARTURO GUTIERREZ LMT
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Gender | Male
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 5001 SW 20TH ST APT 1401
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City | OCALA
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State | FL
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Zip | 34474-8544
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Country | US
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Telephone | 904-635-5240
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 SW 20TH ST APT 1401
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City | OCALA
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State | FL
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Zip | 34474-8544
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Country | US
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Telephone | 904-635-5240
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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 | MA102330
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License Number State | FL
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