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General NPI Number Information
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NPI Number | 1558159871
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Entity Type | Organization
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Legal Business Name | ARETE FLOAT TANK AND PERSONAL OPTIMIZATION CENTER,LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 213 EAST BRAXTON FOUSHEE ST
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City | CARRBORO
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State | NC
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Zip | 27510
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Country | US
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Telephone | 919-636-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 602 DAVIE RD
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City | CARRBORO
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State | NC
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Zip | 27510-1914
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Country | US
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Telephone | 919-414-4968
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | JENNIFER ELLIS
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Credential |
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Telephone | 919-636-9899
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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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