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General NPI Number Information
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NPI Number | 1659674026
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Entity Type | Organization
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Legal Business Name | KB FITNESS, LLC
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 12/07/2010
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Provider Practice Location Address
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Address Line | 7361 SE CONCORD PL
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City | HOBE SOUND
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State | FL
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Zip | 33455-5885
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Country | US
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Telephone | 772-485-9447
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Fax | 772-781-8801
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Provider Business Mailing Address
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Address Line | 7361 SE CONCORD PL
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City | HOBE SOUND
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State | FL
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Zip | 33455-5885
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Country | US
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Telephone | 772-485-9447
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Fax | 772-781-8801
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MR. NICHOLAS MICHAEL PARMIGIANO
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Credential | MS PT
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Telephone | 772-485-9447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT21377
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License Number State | FL
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