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General NPI Number Information
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NPI Number | 1295431468
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Entity Type | Organization
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Legal Business Name | NOVA WELLNESS CENTER
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 5300 W HILLSBORO BLVD STE 103
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4395
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Country | US
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Telephone | 954-614-4053
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Fax | 954-531-1342
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Provider Business Mailing Address
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Address Line | 5300 W HILLSBORO BLVD STE 103
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4395
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Country | US
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Telephone | 954-614-4053
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Fax | 954-531-1342
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Authorized Official
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Title or Position | APRN
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Name | LUCIA RODRIGUES
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Credential | APRN
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Telephone | 954-709-1918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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