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General NPI Number Information
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NPI Number | 1457807463
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE THERAPY 4 U
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 252 SAXONY CT
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4635
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Country | US
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Telephone | 407-765-0161
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Fax |
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Provider Business Mailing Address
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Address Line | 252 SAXONY CT
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4635
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARREN-ROSE E IVEY
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Credential |
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Telephone | 407-765-0161
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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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