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General NPI Number Information
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NPI Number | 1720143860
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Entity Type | Organization
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Legal Business Name | HEALING HANDS OF LYMPHATICS PLUS LLC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 110 N FEDERAL HWY SUITE 201
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4300
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Country | US
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Telephone | 954-455-2121
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Fax | 954-455-2324
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Provider Business Mailing Address
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Address Line | PO BOX 1884
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City | HALLANDALE
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State | FL
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Zip | 33008-1884
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Country | US
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Telephone | 954-455-2121
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Fax | 954-455-2324
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SUZANNE L. DAVEY
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Credential | OTR/L, CLT-LANA
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Telephone | 954-455-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OT6905
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License Number State | FL
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