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General NPI Number Information
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NPI Number | 1265325211
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Entity Type | Organization
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Legal Business Name | ELEMENTAL HEALING LLC
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 5023 ROCK ROSE LOOP
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City | SANFORD
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State | FL
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Zip | 32771-9203
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Country | US
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Telephone | 321-277-2943
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Fax | 321-277-2943
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Provider Business Mailing Address
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Address Line | 5023 ROCK ROSE LOOP
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City | SANFORD
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State | FL
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Zip | 32771-9203
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Country | US
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Telephone | 321-277-2943
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Fax | 321-277-2943
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Authorized Official
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Title or Position | ADVANCED PRACTICE REGISTERED NURSE
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Name | KIMBERLY ANN BALLERINO
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Credential | APRN
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Telephone | 321-277-2943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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