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General NPI Number Information
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NPI Number | 1972892776
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Entity Type | Individual
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Provider Name | ADEL MONZON LMT
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Gender | Male
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 2232 NW 87TH AVE
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City | DORAL
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State | FL
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Zip | 33172-2414
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Country | US
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Telephone | 305-392-3207
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Fax | 305-392-3208
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Provider Business Mailing Address
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Address Line | 9535 SW 24TH ST APT E201
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City | MIAMI
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State | FL
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Zip | 33165-8077
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Country | US
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Telephone | 786-262-8880
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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 | MA 57657
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License Number State | FL
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