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General NPI Number Information
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NPI Number | 1821142654
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Entity Type | Organization
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Legal Business Name | ANGELA GATICA'S THERAPEUTIC TOUCH
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20547 OLD CUTLER ROAD #149
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City | CUTLER BAY
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State | FL
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Zip | 33189
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Country | US
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Telephone | 786-525-1056
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Fax | 305-256-9970
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Provider Business Mailing Address
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Address Line | 9561 S.W. 218 LN
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City | CUTLER BAY
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State | FL
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Zip | 33190
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Country | US
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Telephone | 305-256-9970
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Fax | 305-256-9970
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Authorized Official
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Title or Position | MASSAGE THEAPIST
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Name | MRS. ANGELA MARIE GATICA
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Credential | MASSAGE THERAPIST
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Telephone | 78652521056
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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 | MA36491
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License Number State | FL
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