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General NPI Number Information
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NPI Number | 1215845466
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Entity Type | Organization
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Legal Business Name | VITA WELLNESS BY CJ
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 555 NE 34TH ST APT 908
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City | MIAMI
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State | FL
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Zip | 33137-4055
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Country | US
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Telephone | 786-622-0761
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Fax |
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Provider Business Mailing Address
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Address Line | 555 NE 34TH ST APT 908
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City | MIAMI
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State | FL
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Zip | 33137-4055
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Country | US
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Telephone | 786-622-0761
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CLARIANNE IRALIS JIMENEZ
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Credential | PHD
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Telephone | 305-967-1518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 364SH1100X
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Taxonomy Name | Holistic Clinical Nurse Specialist
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License Number |
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License Number State |
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