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General NPI Number Information
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NPI Number | 1144972456
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Entity Type | Organization
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Legal Business Name | NEW MEDICINE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 510 SE DIXIE HWY
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City | STUART
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State | FL
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Zip | 34994-3045
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Country | US
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Telephone | 772-210-6429
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Fax |
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Provider Business Mailing Address
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Address Line | 510 SE DIXIE HWY
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City | STUART
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State | FL
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Zip | 34994-3045
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EDWARD PEARSON
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Credential | MD
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Telephone | 561-797-8456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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