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General NPI Number Information
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NPI Number | 1326300328
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Entity Type | Organization
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Legal Business Name | BIO-FIT HEALTH, INC.
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 9415 SUNSET DR STE 143
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City | MIAMI
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State | FL
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Zip | 33173-5492
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Country | US
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Telephone | 305-270-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 9415 SUNSET DR STE 143
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City | MIAMI
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State | FL
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Zip | 33173-5492
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Country | US
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Telephone | 305-270-8383
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARLOS JUAN LOPEZ
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Credential |
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Telephone | 305-270-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME 93502
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License Number State | FL
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