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General NPI Number Information
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NPI Number | 1326943457
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Entity Type | Organization
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Legal Business Name | WETELEHEALTH CLINIC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 1279 WOODLINE DR
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City | DELAND
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State | FL
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Zip | 32720-6554
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Country | US
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Telephone | 786-603-9515
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Fax |
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Provider Business Mailing Address
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Address Line | 1279 WOODLINE DR
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City | DELAND
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State | FL
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Zip | 32720-6554
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Country | US
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Telephone | 786-603-9515
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MY NGA T HO
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Credential | WHNP-BC
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Telephone | 786-603-9515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 2083S0010X
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Taxonomy Name | Sports Medicine (Preventive Medicine) Physician
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License Number |
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License Number State | NULL
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