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General NPI Number Information
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NPI Number | 1699400176
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HEALTH & PERFORMANCE, INC
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 5555 N LAMAR BLVD STE L131
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City | AUSTIN
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State | TX
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Zip | 78751-1068
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Country | US
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Telephone | 719-360-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 N LAMAR BLVD STE L131
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City | AUSTIN
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State | TX
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Zip | 78751-1068
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Country | US
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Telephone | 719-360-6500
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. JASON EDWARD BELVILL
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Credential |
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Telephone | 719-360-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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