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General NPI Number Information
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NPI Number | 1548790108
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Entity Type | Organization
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Legal Business Name | ASHA WELLNESS LLC
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8287 N PINE ISLAND RD
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City | TAMARAC
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State | FL
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Zip | 33321-1541
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Country | US
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Telephone | 954-722-6637
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Fax | 954-720-6298
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Provider Business Mailing Address
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Address Line | 8287 N PINE ISLAND RD
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City | TAMARAC
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State | FL
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Zip | 33321-1541
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Country | US
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Telephone | 954-722-6637
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Fax | 954-720-6298
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ROXANN FRYE
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Credential |
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Telephone | 954-722-6637
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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 | CH7931
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License Number State | FL
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