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General NPI Number Information
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NPI Number | 1558781096
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Entity Type | Organization
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Legal Business Name | BE WELL HEALING ARTS, LLC
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 9086 CYPRESS GREEN DR
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7791
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Country | US
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Telephone | 850-766-2879
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Fax |
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Provider Business Mailing Address
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Address Line | 9086 CYPRESS GREEN DR
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7791
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Country | US
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Telephone | 850-766-2879
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE PHYSICIAN
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Name | KENDRA LAY
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Credential | AP
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Telephone | 904-834-0740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 3305
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License Number State | FL
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