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General NPI Number Information
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NPI Number | 1043143431
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Entity Type | Organization
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Legal Business Name | HIVE BODY DYNAMICS LLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 1628 SAN MARCO BLVD STE 14
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City | JACKSONVILLE
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State | FL
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Zip | 32207-3074
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Country | US
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Telephone | 503-719-0981
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Fax | 904-559-2834
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Provider Business Mailing Address
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Address Line | 3900 OLDFIELD CROSSING DR APT 1119
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City | JACKSONVILLE
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State | FL
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Zip | 32223-7881
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Country | US
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Telephone | 503-719-0981
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Fax | 904-559-2834
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Authorized Official
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Title or Position | OWNER
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Name | MS. IZABELLE LAWSTON
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Credential | LMT
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Telephone | 503-719-0981
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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 |
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License Number State |
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