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General NPI Number Information
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NPI Number | 1073251450
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Entity Type | Organization
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Legal Business Name | ORCHID HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 2650 BAHIA VISTA ST STE 303
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City | SARASOTA
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State | FL
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Zip | 34239-2634
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Country | US
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Telephone | 941-500-2456
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Fax | 833-941-1993
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Provider Business Mailing Address
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Address Line | 2650 BAHIA VISTA ST STE 303
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City | SARASOTA
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State | FL
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Zip | 34239-2634
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Country | US
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Telephone | 941-500-2456
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Fax | 833-941-1993
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Authorized Official
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Title or Position | OWNER
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Name | MANDI A NEHRING
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Credential | APRN
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Telephone | 941-809-8475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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