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General NPI Number Information
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NPI Number | 1619153269
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Entity Type | Organization
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Legal Business Name | RX-FIT INC
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 16542 VENTURA BLVD 120
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City | ENCINO
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State | CA
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Zip | 91436-2005
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Country | US
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Telephone | 818-501-5142
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Fax | 818-501-1038
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Provider Business Mailing Address
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Address Line | 16542 VENTURA BLVD 120
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City | ENCINO
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State | CA
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Zip | 91436-2005
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Country | US
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Telephone | 818-501-5142
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Fax | 818-501-1038
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MAVIS A MCCONNON
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Credential | COUNSELOR
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Telephone | 818-402-6850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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