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General NPI Number Information
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NPI Number | 1225858335
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Entity Type | Organization
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Legal Business Name | SAFE LANDING WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 200 DOCTORS DR STE M
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6308
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Country | US
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Telephone | 910-787-1319
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Fax |
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Provider Business Mailing Address
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Address Line | 200 DOCTORS DR STE M
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6308
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Country | US
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Telephone | 252-594-3457
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Fax | 252-324-7946
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Authorized Official
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Title or Position | OWNER
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Name | SHEILA AM MARANO
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Credential | PMHNP-BC, FNP-C
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Telephone | 252-594-3457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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