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General NPI Number Information
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NPI Number | 1447159389
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Entity Type | Organization
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Legal Business Name | HEALTHY LIVING HEALTHCARE LLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/07/2026
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Provider Practice Location Address
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Address Line | 3107 N INDIAN RIVER DR
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City | COCOA
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State | FL
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Zip | 32922-6607
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Country | US
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Telephone | 321-294-3716
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 237057
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City | COCOA
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State | FL
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Zip | 32923-7057
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Country | US
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Telephone | 321-294-3716
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Fax |
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Authorized Official
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Title or Position | LEAD NURSE PRACTITIONER
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Name | MS. MICHELLE SHERRY ANN VANN
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Credential | APRN, FNP-C, CMCN,
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Telephone | 602-597-9952
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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