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General NPI Number Information
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NPI Number | 1225914732
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Entity Type | Organization
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Legal Business Name | NEXT LEVEL HYDRATION INC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 11517 PALMETTO PINE ST
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City | RIVERVIEW
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State | FL
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Zip | 33569-6229
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Country | US
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Telephone | 888-255-0813
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 W LAUREL ST STE 100-2046
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City | TAMPA
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State | FL
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Zip | 33607-3886
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Country | US
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Telephone | 888-255-0813
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND DIRECTOR
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Name | TANTANISHA MITCHELL
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Credential | RN
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Telephone | 888-255-9813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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