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General NPI Number Information
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NPI Number | 1952216673
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Entity Type | Individual
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Provider Name | LAURA PATRICIA OLAVE SR.
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 2855 S CONGRESS AVE STE C
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City | DELRAY BEACH
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State | FL
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Zip | 33445-7312
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Country | US
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Telephone | 395-780-2322
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 SW 4TH AVE APT 16A
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City | DELRAY BEACH
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State | FL
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Zip | 33444-2280
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Country | US
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Telephone | 305-780-2322
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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 | MA96854
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License Number State | FL
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