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General NPI Number Information
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NPI Number | 1376676718
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HEALTH, INCORPORATED
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 691 DOUGLAS AVE SUITE 105
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2571
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Country | US
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Telephone | 407-788-0533
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Fax | 407-788-0995
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Provider Business Mailing Address
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Address Line | 691 DOUGLAS AVE SUITE 105
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2571
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Country | US
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Telephone | 407-788-0533
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Fax | 407-788-0995
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MAUREEN ALICE SHAW
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Credential | MS, ATC, LMT
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Telephone | 407-788-0533
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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 |
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License Number State |
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