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General NPI Number Information
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NPI Number | 1194533828
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Entity Type | Organization
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Legal Business Name | THE LIFE OF A FIGHTER LTD DBA LIFESTYLE OF FITNESS
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1078 TUNNEL RD STE A
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City | ASHEVILLE
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State | NC
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Zip | 28805-2044
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Country | US
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Telephone | 631-741-9959
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Fax |
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Provider Business Mailing Address
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Address Line | 1078 TUNNEL RD STE A
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City | ASHEVILLE
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State | NC
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Zip | 28805-2044
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Country | US
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Telephone | 716-562-8804
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL CAULO
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Credential |
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Telephone | 631-741-9959
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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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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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