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General NPI Number Information
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NPI Number | 1548051063
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Entity Type | Organization
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Legal Business Name | HOLISTIC ONCOLOGY LLC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 399 CAMINO GARDENS BLVD STE 101
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City | BOCA RATON
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State | FL
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Zip | 33432-5828
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Country | US
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Telephone | 561-672-5168
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Fax |
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Provider Business Mailing Address
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Address Line | 399 CAMINO GARDENS BLVD. SUT. 101 STE 101
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City | BOCA BOCA
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State | FL
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Zip | 33432
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Country | US
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Telephone | 561-672-5168
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Fax |
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Authorized Official
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Title or Position | HOLISTIC HESALTH PRACTITIONER
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Name | RUSSELL LIVWEL
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Credential |
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Telephone | 561-672-5168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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