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General NPI Number Information
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NPI Number | 1245190362
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Entity Type | Organization
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Legal Business Name | CM INTEGRATIVE WELLNESS LLC
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 475 SE 1ST ST # 508B
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City | POMPANO BEACH
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State | FL
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Zip | 33060-7571
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Country | US
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Telephone | 786-359-3964
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Fax |
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Provider Business Mailing Address
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Address Line | 475 SE 1ST ST # 508B
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City | POMPANO BEACH
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State | FL
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Zip | 33060-7571
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Country | US
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Telephone | 786-359-3964
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Fax |
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Authorized Official
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Title or Position | OWNER AND CLINICAL DIRECTOR/ FNP-C
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Name | CASSANDRA NADINE MOISE
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Credential | MSN, APRN-C, FNP-C
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Telephone | 786-359-3964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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