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General NPI Number Information
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NPI Number | 1083457345
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Entity Type | Organization
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Legal Business Name | TJ HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 400 SW 1ST AVE UNIT 1179
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City | OCALA
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State | FL
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Zip | 34478-7748
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Country | US
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Telephone | 352-421-5694
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Fax | 877-673-0827
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Provider Business Mailing Address
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Address Line | 400 SW 1ST AVE UNIT 1179
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City | OCALA
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State | FL
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Zip | 34478-7748
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Country | US
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Telephone | 352-421-5694
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Fax | 877-673-0827
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TANYA MARIE JOHNSON
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Credential | APRN
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Telephone | 352-421-5694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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