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General NPI Number Information
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NPI Number | 1265680425
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Entity Type | Organization
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Legal Business Name | NATURAL BODY ALIGNMENT, LLC
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Dates
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Enumeration Date | 08/29/2008
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 1 EVERGREEN AVE STE 32
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City | HAMDEN
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State | CT
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Zip | 06518-2717
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Country | US
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Telephone | 203-248-5146
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Fax |
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Provider Business Mailing Address
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Address Line | 1 EVERGREEN AVE STE 32
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City | HAMDEN
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State | CT
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Zip | 06518-2717
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Country | US
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Telephone | 203-248-5146
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MICHELE T CORMIER
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Credential | MS ATC CSCS
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Telephone | 203-248-5146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 000327
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License Number State | CT
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