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General NPI Number Information
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NPI Number | 1376200113
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Entity Type | Organization
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Legal Business Name | ALL TOGETHER WELLNESS ENTERPRISES LLC
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Dates
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Enumeration Date | 11/28/2021
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Last Update Date | 11/28/2021
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Provider Practice Location Address
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Address Line | 14286 BEACH BLVD STE 19-222
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City | JACKSONVILLE
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State | FL
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Zip | 32250-1561
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Country | US
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Telephone | 904-450-5061
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Fax | 866-730-7983
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Provider Business Mailing Address
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Address Line | 14286 BEACH BLVD STE 19-222
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City | JACKSONVILLE
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State | FL
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Zip | 32250-1561
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Country | US
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Telephone | 904-450-5061
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Fax | 866-730-7983
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER QUARTANO
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Credential | PT
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Telephone | 904-450-5061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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