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General NPI Number Information
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NPI Number | 1982712089
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Entity Type | Individual
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Provider Name | RITA ZEA THOMAS MASSAGE THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8558 FOREST OAKS BLVD
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City | SPRING HILL
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State | FL
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Zip | 34606-6899
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Country | US
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Telephone | 352-686-5230
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Fax | 352-686-4182
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Provider Business Mailing Address
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Address Line | 4360 GASTON ST
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City | SPRING HILL
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State | FL
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Zip | 34607-2443
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Country | US
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Telephone | 352-597-1559
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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 | MA37760
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License Number State | FL
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