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General NPI Number Information
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NPI Number | 1508207648
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Entity Type | Organization
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Legal Business Name | BEING HEALTHY LLC
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 201 W GUAVA ST SUITE 206
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City | LADY LAKE
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State | FL
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Zip | 32159-1701
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Country | US
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Telephone | 352-205-9897
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Fax | 888-426-0410
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Provider Business Mailing Address
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Address Line | 201 W GUAVA ST SUITE 206
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City | LADY LAKE
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State | FL
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Zip | 32159-1701
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Country | US
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Telephone | 352-205-9897
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Fax | 888-426-0410
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Authorized Official
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Title or Position | CO-OWNER & OPERATOR
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Name | UTKARSH S PATEL
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Credential | PT
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Telephone | 352-205-9897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 125278
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License Number State | FL
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