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General NPI Number Information
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NPI Number | 1760833172
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Entity Type | Organization
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Legal Business Name | VADIM FITNESS STUDIO, LTD
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 06/27/2016
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Provider Practice Location Address
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Address Line | 455 CENTRAL PARK AVE
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City | SCARSDALE
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State | NY
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Zip | 10583-1060
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Country | US
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Telephone | 914-725-9553
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Fax | 914-725-4260
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Provider Business Mailing Address
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Address Line | 455 CENTRAL PARK AVE 455 CENTRAL PARK AVENUE
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City | SCARSDALE
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State | NY
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Zip | 10583-1060
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Country | US
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Telephone | 914-725-9553
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Fax | 914-725-4260
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VADIM VILENSKY
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Credential |
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Telephone | 914-725-9553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number |
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License Number State |
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