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General NPI Number Information
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NPI Number | 1568329704
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Entity Type | Organization
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Legal Business Name | METAMORPHOSIS WELLNESS
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 35 SE 1ST AVE STE 200K
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City | OCALA
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State | FL
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Zip | 34471-2177
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Country | US
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Telephone | 786-259-5441
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Fax | 352-310-0132
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Provider Business Mailing Address
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Address Line | 35 SE 1ST AVE STE 200K
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City | OCALA
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State | FL
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Zip | 34471-2177
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Country | US
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Telephone | 786-259-5441
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Fax | 352-310-0132
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Authorized Official
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Title or Position | CEO
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Name | SEMIRAMIS NIEVES
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Credential | IPHM
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Telephone | 863-414-8784
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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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