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General NPI Number Information
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NPI Number | 1245103670
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Entity Type | Organization
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Legal Business Name | MIND & BODY IN MOTION LLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 6230 WILES RD APT 207
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4333
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Country | US
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Telephone | 754-757-5422
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Fax |
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Provider Business Mailing Address
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Address Line | 6230 WILES RD APT 207
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4333
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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 | MBR
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Name | MILENE MAJDALANI
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Credential |
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Telephone | 754-757-5422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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