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General NPI Number Information
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NPI Number | 1700026424
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Entity Type | Individual
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Provider Name | SHAWNA ELIZABETH KENT LMT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2009
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Last Update Date | 02/21/2009
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Provider Practice Location Address
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Address Line | 12301 LAKE UNDERHILL RD SUITE 118
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City | ORLANDO
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State | FL
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Zip | 32828-4508
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Country | US
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Telephone | 407-218-4660
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Fax | 407-218-4661
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Provider Business Mailing Address
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Address Line | 141 JERGO RD
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City | WINTER PARK
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State | FL
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Zip | 32792-6086
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Country | US
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Telephone | 407-927-9323
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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 | MA23785
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License Number State | FL
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