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General NPI Number Information
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NPI Number | 1053629469
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Entity Type | Organization
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Legal Business Name | HEALTHY BE-ATTITUDES, INC
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 97 2ND AVE
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City | ALLENSPARK
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State | CO
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Zip | 80510-0237
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Country | US
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Telephone | 303-747-2602
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Fax | 303-747-2386
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Provider Business Mailing Address
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Address Line | PO BOX 237
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City | ALLENSPARK
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State | CO
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Zip | 80510-0237
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Country | US
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Telephone | 303-747-2602
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Fax | 303-747-2386
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY HUNTER
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Credential | RN BSN LMT
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Telephone | 303-747-2602
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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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