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General NPI Number Information
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NPI Number | 1356711345
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Entity Type | Organization
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Legal Business Name | BES ENTERPRISE NATURAL SOLUTIONS, INC.
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Dates
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Enumeration Date | 10/02/2015
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Last Update Date | 10/02/2015
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Provider Practice Location Address
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Address Line | 1 E CHASE ST SUITE 1135
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City | BALTIMORE
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State | MD
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Zip | 21202-2526
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Country | US
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Telephone | 410-375-0032
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Fax | 410-362-3930
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Provider Business Mailing Address
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Address Line | 1 E CHASE ST SUITE 1135
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City | BALTIMORE
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State | MD
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Zip | 21202-2526
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Country | US
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Telephone | 410-375-0032
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Fax | 410-362-3930
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BERNADETTE ELIZABETH MITCHELL
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Credential | LMT, MMP
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Telephone | 410-375-0032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | M04880
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License Number State | MD
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