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General NPI Number Information
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NPI Number | 1699732438
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Entity Type | Organization
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Legal Business Name | KNEAD TO BE FIT, INC
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 3160 SOUTHGATE COMMERCE BLVD SUITE 38B
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City | ORLANDO
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State | FL
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Zip | 32806-8549
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Country | US
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Telephone | 321-251-7877
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Fax | 321-206-8212
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Provider Business Mailing Address
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Address Line | 3160 SOUTHGATE COMMERCE BLVD SUITE 38B
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City | ORLANDO
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State | FL
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Zip | 32806-8549
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Country | US
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Telephone | 321-251-7877
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Fax | 321-206-8212
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Authorized Official
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Title or Position | COO
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Name | STEPHANIE KINGSTON
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Credential |
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Telephone | 321-251-7877
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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 |
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License Number State |
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