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General NPI Number Information
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NPI Number | 1518101484
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Entity Type | Organization
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Legal Business Name | BODY ARCHITECTS INC.
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 7838 VENTNOR AVE
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City | MARGATE CITY
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State | NJ
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Zip | 08402-2743
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Country | US
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Telephone | 609-823-6460
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Fax | 609-823-6494
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Provider Business Mailing Address
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Address Line | 7838 VENTNOR AVE
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City | MARGATE CITY
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State | NJ
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Zip | 08402-2743
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Country | US
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Telephone | 609-823-6460
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Fax | 609-823-6494
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY T TRACY
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Credential |
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Telephone | 609-823-6460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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