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General NPI Number Information
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NPI Number | 1265193643
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Entity Type | Organization
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Legal Business Name | HEALTH SIX FIT LLC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 01/08/2022
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Provider Practice Location Address
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Address Line | 372 STILL FOREST TER
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City | SANFORD
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State | FL
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Zip | 32771-8360
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Country | US
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Telephone | 714-235-0456
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Fax | 916-333-3634
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Provider Business Mailing Address
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Address Line | 372 STILL FOREST TER
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City | SANFORD
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State | FL
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Zip | 32771-8360
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Country | US
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Telephone | 714-235-0456
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Fax | 916-333-3634
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Authorized Official
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Title or Position | CEO
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Name | PAUL EPSTEIN
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Credential |
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Telephone | 714-235-0456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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