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General NPI Number Information
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NPI Number | 1194664037
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Entity Type | Organization
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Legal Business Name | HEALTH AND SOUL INTEGRATIVE WELLNESS CONSULTING AND COACHING
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 2646 KERMIT CT
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City | ORANGE PARK
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State | FL
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Zip | 32065-7682
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Country | US
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Telephone | 619-621-9288
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Fax |
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Provider Business Mailing Address
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Address Line | 2646 KERMIT CT
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City | ORANGE PARK
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State | FL
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Zip | 32065-7682
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Country | US
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Telephone | 619-621-9288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHEILA MARIE MENDES
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Credential | APRN, FNP-BC
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Telephone | 619-621-9288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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