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Individual
MAGALY PAEZ DICANIO
Active
Individual
MAGALY PAEZ DICANIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P., D.O.M.,LMT
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 579
FL
225700000X
Massage Therapist
MA 40826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0259
BLUE CROSS BLUE SHIELD
FL
01
—
C0496
BLUE CROSS BLUE SHIELD
FL
01
—
C2736
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/12/2006
Last updated
06/21/2010
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