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General NPI Number Information
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NPI Number | 1497368385
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Entity Type | Organization
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Legal Business Name | BODY TALK AND GENERAL WELLNESS CORP
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 4505 S OCEAN BLVD APT 104
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City | HIGHLAND BEACH
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State | FL
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Zip | 33487-4227
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Country | US
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Telephone | 786-956-1085
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Fax |
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Provider Business Mailing Address
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Address Line | 4505 S OCEAN BLVD APT 104
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City | HIGHLAND BEACH
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State | FL
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Zip | 33487-4227
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Country | US
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Telephone | 786-956-1085
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CINTIA AMSTALDEN GUARDIA
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Credential | LMT, NMT, FMT
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Telephone | 786-956-1085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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Taxonomy #3
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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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