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General NPI Number Information
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NPI Number | 1558892927
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Entity Type | Organization
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Legal Business Name | ADVANCED FITNESS & THERAPY
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 1200 UNIVERSITY BLVD #101
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City | JUPITER
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State | FL
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Zip | 33458-5292
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Country | US
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Telephone | 561-694-1243
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Fax | 561-694-8992
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Provider Business Mailing Address
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Address Line | 1200 UNIVERSITY BLVD #101
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City | JUPITER
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State | FL
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Zip | 33458-5292
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Country | US
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Telephone | 561-694-1243
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Fax | 561-694-8992
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SOPHIE GUTIERREZ
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Credential |
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Telephone | 561-694-1243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | FL
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