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General NPI Number Information
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NPI Number | 1417333949
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Entity Type | Organization
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Legal Business Name | SOMETHING BEAUTIFUL WELLNESS CARE
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 2650 BAHIA VISTA ST STE 209
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City | SARASOTA
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State | FL
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Zip | 34239-2625
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Country | US
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Telephone | 941-870-7060
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Fax | 844-876-2658
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Provider Business Mailing Address
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Address Line | 2650 BAHIA VISTA ST STE 209
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City | SARASOTA
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State | FL
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Zip | 34239-2625
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Country | US
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Telephone | 941-870-7060
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Fax | 844-876-2658
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Authorized Official
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Title or Position | OWNER/MGR
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Name | TRACEY RZEPKA
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Credential | ARNP
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Telephone | 941-870-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP1592722
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License Number State | FL
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