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General NPI Number Information
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NPI Number | 1841097201
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Entity Type | Individual
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Provider Name | EDMONDE CANTAVE LMT
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 2945 W CYPRESS CREEK RD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1789
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Country | US
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Telephone | 561-978-2664
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Fax |
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Provider Business Mailing Address
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Address Line | 1880 NW 42ND TER APT B108
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City | LAUDERHILL
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State | FL
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Zip | 33313-5096
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Country | US
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Telephone | 561-322-0680
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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 | MA100950
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License Number State | FL
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