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General NPI Number Information
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NPI Number | 1770805079
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Entity Type | Individual
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Provider Name | ADRIAN MORELL LMT, CNMT
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Gender | Male
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Dates
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Enumeration Date | 02/28/2010
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | 9070 58TH DR E STE 102
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City | BRADENTON
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State | FL
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Zip | 34202-6110
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Country | US
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Telephone | 941-524-9791
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51146
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City | SARASOTA
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State | FL
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Zip | 34232-0330
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Country | US
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Telephone | 941-524-9791
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | RPT22660
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA53254
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License Number State | FL
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