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General NPI Number Information
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NPI Number | 1790961431
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Entity Type | Individual
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Provider Name | KAREN YUSKAITIS LMT
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Gender | Female
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 651 S COLLIER BLVD 2E
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City | MARCO ISLAND
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State | FL
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Zip | 34145
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Country | US
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Telephone | 239-389-6999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 381
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City | ALTAMONT
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State | TN
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Zip | 37301
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Country | US
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Telephone | 239-439-7766
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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 | MA21433
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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 | MT0000004550
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License Number State | TN
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