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General NPI Number Information
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NPI Number | 1528765971
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Entity Type | Organization
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Legal Business Name | ORLANDO'S PERSONAL FITNESS INC.
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 17200 CHENAL PKWY STE 140
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City | LITTLE ROCK
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State | AR
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Zip | 72223-5980
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Country | US
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Telephone | 501-821-6151
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Fax | 501-821-6142
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Provider Business Mailing Address
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Address Line | 17200 CHENAL PKWY STE 140
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City | LITTLE ROCK
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State | AR
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Zip | 72223-5980
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Country | US
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Telephone | 501-821-6151
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Fax | 501-821-6142
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. MARCUS ORLANDO THOMAS
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Credential |
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Telephone | 501-940-8077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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