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General NPI Number Information
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NPI Number | 1316841042
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Entity Type | Organization
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Legal Business Name | LUXXE WEIGHT LOSS AND WELLNESS LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 5991 CHESTER AVE STE 102
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2265
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Country | US
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Telephone | 904-299-2709
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Fax |
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Provider Business Mailing Address
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Address Line | 5991 CHESTER AVE STE 102
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2265
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | VANQUIECE SMITH
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Credential | NP
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Telephone | 850-737-9214
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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 | NULL
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