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NPI 1407703663

NPI 1407703663 : INTAKEBELLA LLC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1407703663
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTAKEBELLA LLC 
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Dates
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    Enumeration Date     |    03/16/2026
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    Last Update Date     |    03/16/2026
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Provider Practice Location Address
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    Address Line         |    848 BRICKELL AVE 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33131-2949
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    Country              |    US
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    Telephone            |    844-278-3770
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5030 CHAMPION BLVD 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33496-2473
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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    |    CONTACT
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    Name                 |    DR. NOLEN  JAMES 
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    Credential           |    
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    Telephone            |    619-363-6051
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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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