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General NPI Number Information
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NPI Number | 1710270319
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Entity Type | Organization
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Legal Business Name | SYNERGY YOGA SOUTH BEACH LLC
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 435 ESPANOLA WAY SUITE A
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City | MIAMI BEACH
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State | FL
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Zip | 33139
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Country | US
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Telephone | 305-538-7073
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Fax | 305-538-7073
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Provider Business Mailing Address
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Address Line | 435 ESPANOLA WAY SUITE A
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City | MIAMI BEACH
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State | FL
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Zip | 33139
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Country | US
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Telephone | 305-538-7073
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Fax | 305-538-7073
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Authorized Official
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Title or Position | CEO
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Name | MISS VICTORIA BRUNACCI
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Credential | LIC.
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Telephone | 305-538-7073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | 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 | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #7
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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 #8
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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