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General NPI Number Information
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NPI Number | 1649786401
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Entity Type | Organization
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Legal Business Name | GUZMAR THERAPY MASSAGE, LLC.
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 2G
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City | MIAMI
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State | FL
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Zip | 33172-4511
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Country | US
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Telephone | 305-224-2772
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Fax | 305-397-2200
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Provider Business Mailing Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 2G
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City | MIAMI
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State | FL
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Zip | 33172-4511
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Country | US
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Telephone | 305-224-2772
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Fax | 305-397-2200
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MRS. ODALYS MARTINEZ
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Credential | LMT
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Telephone | 305-224-2772
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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