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General NPI Number Information
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NPI Number | 1932916970
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Entity Type | Organization
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Legal Business Name | 8 PLATES FITNESS LLC
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 12707 THRUSH PL
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-5283
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Country | US
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Telephone | 202-499-9063
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Fax |
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Provider Business Mailing Address
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Address Line | 12707 THRUSH PL
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-5283
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MASTER HEALTH COACH
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Name | PROF. JULIAN D GUDGER
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Credential | MPA, EDS, NBC-HWC
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Telephone | 202-499-9063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 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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