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General NPI Number Information
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NPI Number | 1285511477
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Entity Type | Organization
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Legal Business Name | FITMATE MEDICAL GROUP P.A.
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 115 N CALHOUN ST STE 4
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City | TALLAHASSEE
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State | FL
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Zip | 32301-1568
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Country | US
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Telephone | 350-203-9425
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Fax |
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Provider Business Mailing Address
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Address Line | 2627 HANOVER ST
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City | PALO ALTO
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State | CA
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Zip | 94304-1118
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Country | US
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Telephone | 350-203-9425
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RACHEL A QUINN
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Credential | MD
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Telephone | 800-674-3766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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