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General NPI Number Information
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NPI Number | 1750175162
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Entity Type | Organization
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Legal Business Name | DE ORAA ENTERPRISE, LLC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1808 N WEST SHORE BLVD
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City | TAMPA
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State | FL
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Zip | 33607-3907
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Country | US
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Telephone | 813-445-3936
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Fax |
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Provider Business Mailing Address
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Address Line | 16306 ARMSTRONG PL
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City | TAMPA
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State | FL
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Zip | 33647-1397
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Country | US
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Telephone | 813-317-1423
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA DE ORAA
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Credential |
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Telephone | 813-317-1423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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