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General NPI Number Information
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NPI Number | 1447995469
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Entity Type | Organization
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Legal Business Name | CLADE ESSENTIALS, LLC
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 101 E KENNEDY BLVD
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City | TAMPA
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State | FL
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Zip | 33602-5179
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Country | US
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Telephone | 813-444-8833
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Fax |
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Provider Business Mailing Address
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Address Line | 19046 BRUCE B DOWNS BLVD STE B6
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City | TAMPA
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State | FL
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Zip | 33647-2434
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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 | PRESIDENT
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Name | JESSIE FRANK
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Credential |
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Telephone | 813-784-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102X00000X
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Taxonomy Name | Poetry Therapist
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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