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General NPI Number Information
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NPI Number | 1831417088
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Entity Type | Individual
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Provider Name | TERRI L MUZZIO L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 914 ORANGE DR
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City | LAKE PARK
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State | FL
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Zip | 33403-2020
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Country | US
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Telephone | 561-863-0814
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Fax |
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Provider Business Mailing Address
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Address Line | 914 ORANGE DR
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City | LAKE PARK
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State | FL
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Zip | 33403-2020
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Country | US
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Telephone | 561-863-0814
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 58920
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License Number State | FL
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