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General NPI Number Information
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NPI Number | 1750636791
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Entity Type | Individual
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Provider Name | EDREY S MORENO LMT,MMP
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Gender | Female
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 07/16/2012
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Provider Practice Location Address
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Address Line | 698 SW PORT ST LUCIE BLVD STE 107
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-1565
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Country | US
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Telephone | 772-249-4058
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Fax |
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Provider Business Mailing Address
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Address Line | 698 SW PORT ST LUCIE BLVD STE 107
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-1565
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Country | US
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Telephone | 772-249-4058
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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 | MA54460
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License Number State | FL
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