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General NPI Number Information
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NPI Number | 1700019171
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Entity Type | Individual
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Provider Name | MS. ROSA ELVIRA ESCOBAR
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Gender | Female
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 299 CAMINO GARDENS BLVD THE BOCA CENTER FOR HEALING SUITE 101
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City | BOCA RATON
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State | FL
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Zip | 33432-5822
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Country | US
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Telephone | 561-452-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 CORAL SPRINGS DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3803
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Country | US
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Telephone | 561-452-4030
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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 | MA52053
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License Number State | FL
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