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General NPI Number Information
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NPI Number | 1023841632
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Entity Type | Organization
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Legal Business Name | NEXTGEN WELLNESS INSTITUTE LLC
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 13021 SUMMERFIELD SQUARE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-7402
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Country | US
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Telephone | 941-254-2037
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Fax | 941-251-8379
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Provider Business Mailing Address
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Address Line | 13021 SUMMERFIELD SQUARE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-7402
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Country | US
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Telephone | 941-254-2037
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Fax | 941-251-8379
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ABRAHAM JOSIAH FURA
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Credential | DO
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Telephone | 941-254-2037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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