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General NPI Number Information
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NPI Number | 1467232728
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Entity Type | Organization
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Legal Business Name | NO LABELS BOXING FITNESS LLC
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 112 CORNELIA ST
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City | BOONTON
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State | NJ
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Zip | 07005-1710
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Country | US
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Telephone | 973-307-0004
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Fax |
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Provider Business Mailing Address
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Address Line | 112 CORNELIA ST
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City | BOONTON
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State | NJ
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Zip | 07005-1710
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Country | US
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Telephone | 973-307-0004
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. ERIK TORRES
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Credential |
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Telephone | 973-307-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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