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General NPI Number Information
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NPI Number | 1386467124
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Entity Type | Organization
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Legal Business Name | KAKO WELLNESS AND HEALTHCARE MANAGEMENT LLC
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 07/06/2025
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Provider Practice Location Address
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Address Line | 6890 N FLORIDA AVE
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City | HERNANDO
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State | FL
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Zip | 34442-3500
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Country | US
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Telephone | 352-534-6897
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Fax | 352-897-4333
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Provider Business Mailing Address
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Address Line | 20815 SW 57TH
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City | DUNELLON
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State | FL
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Zip | 34431
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Country | US
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Telephone | 815-867-6242
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Fax |
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Authorized Official
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Title or Position | APRN/OWNER
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Name | AMANDA MENDOZA
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Credential | APRN, FNP- BC
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Telephone | 815-867-6242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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