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General NPI Number Information
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NPI Number | 1992025498
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Entity Type | Organization
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Legal Business Name | A SPECIAL TOUCH THERAPY, INC
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Dates
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Enumeration Date | 06/07/2010
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Last Update Date | 06/07/2010
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Provider Practice Location Address
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Address Line | 4131 NW 28TH LN STE 4
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City | GAINESVILLE
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State | FL
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Zip | 32606-6681
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Country | US
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Telephone | 386-365-0592
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Fax | 352-335-3939
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Provider Business Mailing Address
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Address Line | 4131 NW 28TH LN STE 4
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City | GAINESVILLE
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State | FL
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Zip | 32606-6681
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Country | US
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Telephone | 386-365-0592
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Fax | 352-335-3939
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CAROL J MULVIHILL
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Credential | LMT, CR, CLT
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Telephone | 386-365-0592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | MA55874
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA55874
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License Number State | FL
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