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General NPI Number Information
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NPI Number | 1669331971
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Entity Type | Individual
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Provider Name | CARON CORWIN LMT
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Gender | Female
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 225 MONTAUK HWY STE 114
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City | MORICHES
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State | NY
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Zip | 11955-1411
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Country | US
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Telephone | 631-874-4114
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Fax | 631-874-4844
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Provider Business Mailing Address
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Address Line | 19 DANA AVE
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City | MASTIC
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State | NY
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Zip | 11950-2501
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Country | US
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Telephone |
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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 | 017214
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License Number State | NY
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