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General NPI Number Information
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NPI Number | 1144856386
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Entity Type | Organization
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Legal Business Name | POSITIVELY U, INC
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 320 1ST ST S
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City | WINTER HAVEN
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State | FL
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Zip | 33880-3501
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Country | US
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Telephone | 863-229-5775
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Fax | 863-229-5832
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Provider Business Mailing Address
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Address Line | 320 1ST ST S
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City | WINTER HAVEN
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State | FL
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Zip | 33880-3501
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Country | US
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Telephone | 863-229-5775
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Fax | 863-229-5832
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Authorized Official
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Title or Position | OWNER
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Name | JANET KITCHEN
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Credential |
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Telephone | 863-229-5775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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