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General NPI Number Information
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NPI Number | 1528904471
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Entity Type | Organization
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Legal Business Name | ABIDE WELLNESS CLINIC PLLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 4830 W KENNEDY BLVD STE 600
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City | TAMPA
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State | FL
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Zip | 33609-2584
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Country | US
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Telephone | 813-687-8947
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Fax | 813-547-8332
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Provider Business Mailing Address
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Address Line | 4830 W KENNEDY BLVD STE 600
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City | TAMPA
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State | FL
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Zip | 33609-2584
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Country | US
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Telephone | 813-687-8947
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Fax | 813-547-8332
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Authorized Official
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Title or Position | OWNER
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Name | CHEYANNE SMITH
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Credential | APRN, FNP-C
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Telephone | 813-687-8947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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