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General NPI Number Information
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NPI Number | 1255134250
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Entity Type | Organization
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Legal Business Name | XANTOS WELLNESS LLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 7000 W 12TH AVE STE 15
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City | HIALEAH
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State | FL
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Zip | 33014-5154
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Country | US
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Telephone | 305-395-4919
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Fax | 305-395-4920
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Provider Business Mailing Address
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Address Line | 7000 W 12TH AVE STE 15
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City | HIALEAH
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State | FL
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Zip | 33014-5154
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Country | US
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Telephone | 305-395-4919
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Fax | 305-395-4920
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Authorized Official
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Title or Position | PRESIDENT
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Name | YENEY SANTOS
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Credential |
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Telephone | 305-395-4919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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