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General NPI Number Information
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NPI Number | 1336887694
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Entity Type | Organization
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Legal Business Name | BEYOND WELLNESS HEALTHCARE LLC
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 11/24/2022
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Provider Practice Location Address
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Address Line | 145 AVENUE G SW
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City | WINTER HAVEN
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State | FL
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Zip | 33880-3435
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Country | US
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Telephone | 863-266-4517
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Fax | 888-464-0733
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Provider Business Mailing Address
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Address Line | 145 AVENUE G SW
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City | WINTER HAVEN
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State | FL
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Zip | 33880-3435
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Country | US
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Telephone | 863-266-4517
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Fax | 888-464-0733
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Authorized Official
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Title or Position | CO OWNER
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Name | MRS. DAWN ELIZABETH WHITE
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Credential | NP-C
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Telephone | 863-266-4517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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