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General NPI Number Information
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NPI Number | 1245195650
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Entity Type | Organization
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Legal Business Name | R&R MEDSPA AND WELLNESS CENTER LLC
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 246 E COBB AVE
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City | CRESTVIEW
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State | FL
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Zip | 32539-4212
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Country | US
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Telephone | 850-598-9939
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Fax |
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Provider Business Mailing Address
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Address Line | 246 E COBB AVE
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City | CRESTVIEW
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State | FL
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Zip | 32539-4212
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Country | US
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Telephone | 850-598-9939
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Fax |
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | NICHOLAS PATRICK REEDER
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Credential | FNP, ARNP
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Telephone | 850-598-9939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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