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General NPI Number Information
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NPI Number | 1538027461
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Entity Type | Organization
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Legal Business Name | SENECA WELLNESS PLLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1984 NW 4TH CT
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City | MIAMI
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State | FL
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Zip | 33136-1204
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Country | US
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Telephone | 305-417-9601
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 806
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City | DORADO
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State | PR
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Zip | 00646-0806
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Country | US
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Telephone | 305-417-9601
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | CANDRA WOOTEN
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Credential | MD
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Telephone | 305-417-9601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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