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General NPI Number Information
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NPI Number | 1275360877
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Entity Type | Organization
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Legal Business Name | IN GOD WE TRUST FITNESS
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Dates
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Enumeration Date | 09/17/2024
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 7767 TOM DR
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City | BATON ROUGE
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State | LA
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Zip | 70806-2321
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Country | US
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Telephone | 225-495-7054
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Fax |
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Provider Business Mailing Address
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Address Line | 4821 RITTERMAN AVE # A
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City | BATON ROUGE
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State | LA
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Zip | 70805-6963
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Country | US
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Telephone | 225-921-8184
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Fax |
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Authorized Official
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Title or Position | MASTER TRAINER
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Name | DORSEAY BINDON
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Credential |
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Telephone | 225-921-8184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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