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General NPI Number Information
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NPI Number | 1467693978
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Entity Type | Organization
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Legal Business Name | BETTER BODY WELLNESS
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Dates
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Enumeration Date | 03/12/2009
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 1265 S MILITARY TRL SUITE #110
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-7688
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Country | US
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Telephone | 954-428-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 19901 STOCKHOLM DR
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City | BOCA RATON
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State | FL
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Zip | 33434-6303
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Country | US
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Telephone | 954-428-1500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NOLA-ANN PEARSON
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Credential |
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Telephone | 954-428-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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