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General NPI Number Information
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NPI Number | 1508677303
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Entity Type | Organization
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Legal Business Name | HCM WELLNESS LLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 9770 BAYMEADOWS RD STE 117
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7986
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Country | US
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Telephone | 904-516-7920
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Fax |
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Provider Business Mailing Address
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Address Line | 12882 REGGIE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32223-2530
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Country | US
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Telephone | 305-801-2571
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AKINYINKA AWOSIKA
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Credential |
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Telephone | 321-710-0352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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