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General NPI Number Information
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NPI Number | 1568236057
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Entity Type | Organization
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Legal Business Name | THRYVE FLORIDA HEALTH AND WELLNESS
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 1230 OAKLEY SEAVER DR
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City | CLERMONT
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State | FL
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Zip | 34711-1961
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Country | US
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Telephone | 407-274-9322
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Fax | 407-274-9907
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Provider Business Mailing Address
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Address Line | 1230 OAKLEY SEAVER DR
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City | CLERMONT
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State | FL
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Zip | 34711-1961
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Country | US
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Telephone | 407-274-9322
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Fax | 407-274-9907
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Authorized Official
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Title or Position | CEO
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Name | MS. LANNA LOPEZ
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Credential | APRN
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Telephone | 646-314-3503
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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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