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General NPI Number Information
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NPI Number | 1306527155
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Entity Type | Organization
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Legal Business Name | BODY THERAPY WELLNESS & AESTHETICS
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 4422 5TH ST W
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City | BRADENTON
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State | FL
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Zip | 34207-1531
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Country | US
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Telephone | 941-222-1808
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Fax | 941-240-1755
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Provider Business Mailing Address
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Address Line | 4422 5TH ST W
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City | BRADENTON
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State | FL
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Zip | 34207-1531
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Country | US
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Telephone | 941-222-1808
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Fax | 941-240-1755
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JUAN LAMADRID
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Credential |
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Telephone | 813-453-6179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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