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General NPI Number Information
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NPI Number | 1336925080
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Entity Type | Organization
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Legal Business Name | KULANI SPA & WELLNESS, LLC
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 300 ARGENTO DR APT 2101
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City | MCDONOUGH
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State | GA
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Zip | 30253-5237
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Country | US
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Telephone | 678-884-6555
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Fax | 678-826-0772
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Provider Business Mailing Address
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Address Line | 300 ARGENTO DR SUITE 2101
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City | MCDONOUGH
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State | GA
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Zip | 30253-5237
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Country | US
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Telephone | 678-884-6555
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Fax | 678-826-0772
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Authorized Official
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Title or Position | OWNER/PROVDIER
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Name | SABINA GABRIELLE GORDON
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Credential | NP-C
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Telephone | 678-884-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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