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General NPI Number Information
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NPI Number | 1528443017
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Entity Type | Organization
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Legal Business Name | STEEM FITNESS & MASSAGE LLC
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Dates
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Enumeration Date | 07/25/2015
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Last Update Date | 07/25/2015
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Provider Practice Location Address
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Address Line | 4621 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4602
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Country | US
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Telephone | 954-471-7950
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Fax |
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Provider Business Mailing Address
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Address Line | 16951 SW 63RD MNR
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City | SOUTHWEST RANCHES
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State | FL
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Zip | 33331-1773
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Country | US
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Telephone | 954-471-7950
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | DESMOND DEPASS
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Credential | L.M.T.
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Telephone | 954-471-7950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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