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General NPI Number Information
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NPI Number | 1528657509
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Entity Type | Organization
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Legal Business Name | ESSENTIAL HEALTH WELLNESS CENTER
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 4320 W BROWARD BLVD STE 5
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City | PLANTATION
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State | FL
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Zip | 33317-3756
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Country | US
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Telephone | 954-947-1569
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Fax | 954-824-1945
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Provider Business Mailing Address
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Address Line | 4320 W BROWARD BLVD STE 5
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City | PLANTATION
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State | FL
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Zip | 33317-3756
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Country | US
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Telephone | 954-947-1569
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Fax | 954-824-1945
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Authorized Official
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Title or Position | PRESIDENT
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Name | MYRIAM AUGUSTIN
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Credential |
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Telephone | 954-947-1569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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