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General NPI Number Information
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NPI Number | 1063272201
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Entity Type | Organization
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Legal Business Name | FIGURE 8 INTEGRATIVE HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 15 PARK PL STE C
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City | SWANSEA
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State | IL
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Zip | 62226-2918
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Country | US
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Telephone | 732-425-4363
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Fax | 618-257-0715
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Provider Business Mailing Address
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Address Line | 15 PARK PL STE C
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City | SWANSEA
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State | IL
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Zip | 62226-2918
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Country | US
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Telephone | 732-425-4363
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Fax | 618-257-0715
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Authorized Official
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Title or Position | CLINICAL PRACTICE MANAGER
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Name | CHARITY NYUGUTO
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Credential | FNPC
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Telephone | 732-425-4363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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