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General NPI Number Information
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NPI Number | 1922897651
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Entity Type | Organization
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Legal Business Name | PEAK PERFORMANCE HEALTH, LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 835 CESERY BLVD RM 7
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5605
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Country | US
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Telephone | 239-396-1670
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Fax |
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Provider Business Mailing Address
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Address Line | 835 CESERY BLVD RM 7
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5605
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Country | US
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Telephone | 239-396-1670
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | AARON J FRALICKER
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Credential | APRN
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Telephone | 239-396-1670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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