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General NPI Number Information
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NPI Number | 1972744787
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Entity Type | Individual
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Provider Name | MS. CHRISTINA MAE DUFFEE
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Gender | Female
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 262 E MERRITT ISLAND CSWY SUITE 11
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3675
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Country | US
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Telephone | 321-453-4482
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Fax | 321-459-2034
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Provider Business Mailing Address
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Address Line | 262 E MERRITT ISLAND CSWY SUITE 11
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-3675
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Country | US
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Telephone | 321-453-4482
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Fax | 321-459-2034
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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 | MA55294
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License Number State | FL
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