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General NPI Number Information
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NPI Number | 1881958080
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Entity Type | Organization
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Legal Business Name | MARGIE'S THERAPEUTIC TOUCH
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 08/23/2012
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Provider Practice Location Address
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Address Line | 2525 N STATE ROAD 7 SUITE 112
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3201
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Country | US
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Telephone | 954-562-6197
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 N STATE ROAD 7 SUITE 112
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3201
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Country | US
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Telephone | 954-562-6197
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARYURI A VELAZQUEZ
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Credential | LMT
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Telephone | 954-562-6197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | MM22432
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License Number State | FL
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