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General NPI Number Information
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NPI Number | 1184507865
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Entity Type | Organization
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Legal Business Name | BEAR ESSENTIALS MASSAGE & WELLNESS
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 8996 SEMINOLE BLVD
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City | SEMINOLE
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State | FL
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Zip | 33772-3850
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Country | US
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Telephone | 615-554-3492
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Fax |
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Provider Business Mailing Address
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Address Line | 5980 6TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33707-1624
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Country | US
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Telephone | 615-554-3492
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Fax |
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Authorized Official
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Title or Position | OWNER/ LICENSED MASSAGE THERAPIST
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Name | MS. JENNIFER LYNN BEAR
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Credential |
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Telephone | 615-554-3492
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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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