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General NPI Number Information
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NPI Number | 1174739379
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE THERAPY SERVICES,LLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 4802 51ST ST W # 1924
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City | BRADENTON
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State | FL
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Zip | 34210-5101
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Country | US
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Telephone | 941-795-0882
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Fax |
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Provider Business Mailing Address
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Address Line | 4802 51ST ST W # 1924
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City | BRADENTON
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State | FL
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Zip | 34210-5101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KERWIN ARNEJO
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Credential |
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Telephone | 941-524-7387
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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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