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General NPI Number Information
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NPI Number | 1427394691
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Entity Type | Organization
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Legal Business Name | BIOFIT HEALTH CENTER
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 8917 CONROY WINDERMERE RD
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City | ORLANDO
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State | FL
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Zip | 32835-3127
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Country | US
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Telephone | 407-992-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 8917 CONROY-WINDERMERE RD.
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City | ORLANDO
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State | FL
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Zip | 32835
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Country | US
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Telephone | 407-992-9955
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Fax |
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Authorized Official
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Title or Position | SECRETORY
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Name | MRS. NASRIN LAKHANI
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Credential | BS; MNM
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Telephone | 407-217-6977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | L11000125499
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License Number State | FL
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