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General NPI Number Information
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NPI Number | 1538489661
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Entity Type | Organization
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Legal Business Name | WELLBEING YOGA, LLC
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 7290 SW 168TH ST STE B-C
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City | PALMETTO BAY
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State | FL
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Zip | 33157-4845
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Country | US
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Telephone | 786-242-2858
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Fax | 786-242-2859
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Provider Business Mailing Address
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Address Line | 7290 SW 168TH ST STE B-C
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City | PALMETTO BAY
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State | FL
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Zip | 33157-4845
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Country | US
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Telephone | 786-242-2858
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Fax | 786-242-2859
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. KAMILA HARAMULE
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Credential |
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Telephone | 786-242-2858
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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 | MM24547
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License Number State | FL
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