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General NPI Number Information
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NPI Number | 1063390953
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Entity Type | Organization
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Legal Business Name | I FIX ATHLETES INC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 20911 EARL ST STE 260
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City | TORRANCE
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State | CA
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Zip | 90503-4360
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Country | US
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Telephone | 716-367-7475
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Fax |
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Provider Business Mailing Address
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Address Line | 35 PINEGROVE CT
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City | ELMA
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State | NY
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Zip | 14059-9291
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Country | US
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Telephone | 716-807-5677
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXIS N LUCZAK
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Credential | ND
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Telephone | 716-807-5677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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