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General NPI Number Information
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NPI Number | 1083523369
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Entity Type | Organization
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Legal Business Name | NAPLES FITNESS WELLNESS LLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 3960 RADIO RD STE 206
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City | NAPLES
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State | FL
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Zip | 34104-3746
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Country | US
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Telephone | 239-293-7351
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Fax |
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Provider Business Mailing Address
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Address Line | 3960 RADIO RD STE 206
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City | NAPLES
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State | FL
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Zip | 34104-3746
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Country | US
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Telephone | 239-293-7351
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED HOLISTIC HEALTH
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Name | IRENA BASNIKOVA
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Credential | BCHHP, CPT,CPEP, LMT
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Telephone | 239-293-7351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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