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General NPI Number Information
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NPI Number | 1124613377
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Entity Type | Organization
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Legal Business Name | INTUITION WELLNESS, LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 248 SOUTHPARK CIR E
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32086-5137
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Country | US
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Telephone | 808-258-8089
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Fax |
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Provider Business Mailing Address
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Address Line | 224 RIVER PLANTATION RD S
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32092-8959
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Country | US
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Telephone | 808-258-8089
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AMANDA W SWARTZLENDER
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Credential | LMHC
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Telephone | 808-258-8089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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