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General NPI Number Information
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NPI Number | 1457202236
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Entity Type | Organization
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Legal Business Name | NUVIA TOTAL WLLNESS
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 7451 RIVIERA BLVD STE 150
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City | MIRAMAR
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State | FL
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Zip | 33023
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Country | US
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Telephone | 954-890-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 18331 PINES BLVD # 104
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1421
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Country | US
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Telephone | 954-890-6910
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Fax |
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Authorized Official
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Title or Position | NP
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Name | EDNA DANIEL
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Credential |
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Telephone | 954-890-6910
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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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