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General NPI Number Information
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NPI Number | 1154044584
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Entity Type | Organization
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Legal Business Name | GYMPERFORMANCE EXERCISE MACHINE LLC
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 3400 STEVENSON BLVD APT M14
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City | FREMONT
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State | CA
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Zip | 94538-5829
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Country | US
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Telephone | 909-725-6724
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Fax |
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Provider Business Mailing Address
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Address Line | 3542 FRUITVALE AVE # 416
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City | OAKLAND
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State | CA
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Zip | 94602-2327
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Country | US
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Telephone | 909-725-6724
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS SANDRA BELCHER
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Credential |
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Telephone | 909-725-6724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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