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General NPI Number Information
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NPI Number | 1992672661
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Entity Type | Organization
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Legal Business Name | BATTLEBORN BODIES
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 2701 SW 105TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-2730
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Country | US
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Telephone | 786-641-3970
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Fax | 786-641-3970
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Provider Business Mailing Address
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Address Line | 2701 SW 105TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-2730
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Country | US
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Telephone | 786-641-3970
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Fax | 786-641-3970
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Authorized Official
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Title or Position | OWNER
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Name | MR. JIMMY FERNANDEZ
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Credential |
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Telephone | 786-641-3970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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