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General NPI Number Information
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NPI Number | 1275018400
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Entity Type | Organization
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Legal Business Name | ATHLETIC PERFORMANCE ENHANCEMENT LLC
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 4419 GOLDCOAST AVE
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City | SPRING HILL
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State | FL
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Zip | 34609-1920
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Country | US
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Telephone | 813-502-9562
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Fax |
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Provider Business Mailing Address
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Address Line | 4419 GOLDCOAST AVE
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City | SPRING HILL
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State | FL
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Zip | 34609-1920
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Country | US
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Telephone | 813-502-9562
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DENNIS W. BOVEE
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Credential |
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Telephone | 813-502-9562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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