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General NPI Number Information
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NPI Number | 1932064870
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Entity Type | Organization
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Legal Business Name | THE PEACE WORKOUT CORP
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1855 MAHAFFEY CIRCLE
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City | LAKELAND
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State | FL
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Zip | 33811
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Country | US
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Telephone | 813-787-1280
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Fax |
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Provider Business Mailing Address
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Address Line | 19046 BRUCE B DOWNS BLVD # 201
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City | TAMPA
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State | FL
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Zip | 33647-2434
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Country | US
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Telephone | 813-787-1280
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Fax |
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Authorized Official
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Title or Position | NUTRITIONIST - WELLNESS COACH
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Name | ADEBOLA J ADESHINA
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Credential |
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Telephone | 813-787-1280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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