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General NPI Number Information
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NPI Number | 1649499625
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Entity Type | Individual
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Provider Name | MICHELLE HANSON LMT
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 28469 US HIGHWAY 19 N 402
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City | CLEARWATER
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State | FL
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Zip | 33761-2512
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Country | US
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Telephone | 727-723-3888
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Fax | 727-796-2888
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Provider Business Mailing Address
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Address Line | 14791 FEATHER COVE RD
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City | CLEARWATER
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State | FL
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Zip | 33762-3018
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Country | US
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Telephone | 727-776-7670
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Fax | 727-796-2888
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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 | MA 37928
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License Number State | FL
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