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General NPI Number Information
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NPI Number | 1568329217
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Entity Type | Organization
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Legal Business Name | PG MENS HEALTH
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1895 FLOYD ST
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City | SARASOTA
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State | FL
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Zip | 34239-2927
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Country | US
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Telephone | 941-248-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1895 FLOYD ST
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City | SARASOTA
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State | FL
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Zip | 34239-2927
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Country | US
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Telephone | 941-248-2300
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Fax |
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Authorized Official
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Title or Position | ASSISTANT
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Name | RAELENE LOMBARDO
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Credential |
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Telephone | 941-552-1189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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