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General NPI Number Information
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NPI Number | 1184417958
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Entity Type | Organization
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Legal Business Name | VH AND WELLNESS, LLC
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 2505 STATE ROAD 60 E
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City | LAKE WALES
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State | FL
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Zip | 33898-5124
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Country | US
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Telephone | 813-291-3315
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Fax | 863-509-6115
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Provider Business Mailing Address
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Address Line | 2412 CHARLEY RD
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City | EAGLE LAKE
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State | FL
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Zip | 33839-5629
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Country | US
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Telephone | 813-291-3315
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Fax | 863-509-6115
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Authorized Official
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Title or Position | OFFICER
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Name | ANABEL KARINE RIVERO
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Credential | APRN
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Telephone | 786-217-3377
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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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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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