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General NPI Number Information
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NPI Number | 1932664307
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Entity Type | Organization
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Legal Business Name | NATURAL THERAPY & SPA
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Dates
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Enumeration Date | 02/09/2019
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Last Update Date | 02/09/2019
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Provider Practice Location Address
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Address Line | 7224 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-6743
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Country | US
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Telephone | 407-440-4051
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Fax | 407-704-5981
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Provider Business Mailing Address
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Address Line | 7224 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-6743
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Country | US
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Telephone | 407-440-4051
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Fax | 407-704-5981
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Authorized Official
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Title or Position | MGR
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Name | JONISE M LEONARD
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Credential |
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Telephone | 407-782-0489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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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 | 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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