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General NPI Number Information
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NPI Number | 1730559428
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Entity Type | Organization
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Legal Business Name | TNT FITNESS TRAINING, LLC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 1022 DUMESNIL ST
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City | LOUISVILLE
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State | KY
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Zip | 40210-1517
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Country | US
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Telephone | 502-931-3834
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Fax | 502-637-5911
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Provider Business Mailing Address
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Address Line | 1022 DUMESNIL ST
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City | LOUISVILLE
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State | KY
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Zip | 40210-1517
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Country | US
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Telephone | 502-931-3834
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Fax | 502-637-5911
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Authorized Official
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Title or Position | PERSONAL TRAINER/OWNER
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Name | MS. TANIKA L OWENS
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Credential | MS, NSCA-CPT
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Telephone | 502-931-3834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 039048
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License Number State | KY
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