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General NPI Number Information
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NPI Number | 1326955733
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Entity Type | Organization
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Legal Business Name | COMMUNITY WELLNESS PARTNERS LLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 15800 PINES BLVD STE 203
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1212
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Country | US
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Telephone | 877-287-2520
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 KINGSLEY AVE
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City | ORANGE PARK
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State | FL
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Zip | 32073-4616
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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 | AMBR
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Name | VICTORIA BARNHART
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Credential |
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Telephone | 772-405-7597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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