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General NPI Number Information
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NPI Number | 1497250609
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Entity Type | Organization
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Legal Business Name | XCEPTIONAL YOU WELLNESS
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1799 STUMPF BLVD STE 4
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City | TERRYTOWN
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State | LA
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Zip | 70056-3950
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Country | US
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Telephone | 504-334-8889
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Fax |
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Provider Business Mailing Address
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Address Line | 1799 STUMPF BLVD STE 4
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City | TERRYTOWN
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State | LA
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Zip | 70056-3950
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Country | US
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Telephone | 504-334-8889
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. GENENE MCDONALD COLEMAN
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Credential | NURSE PRACTITIONER
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Telephone | 504-442-6943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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