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General NPI Number Information
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NPI Number | 1578236907
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Entity Type | Organization
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Legal Business Name | STAY HEALTHY
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 325 JOHN KNOX RD STE D101
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City | TALLAHASSEE
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State | FL
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Zip | 32303-4158
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Country | US
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Telephone | 954-873-2426
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Fax |
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Provider Business Mailing Address
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Address Line | 325 JOHN KNOX RD STE D101
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City | TALLAHASSEE
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State | FL
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Zip | 32303-4158
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Country | US
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Telephone | 850-755-3808
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Fax |
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Authorized Official
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Title or Position | OWNER, APRN
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Name | BRANDI RICHARDSON
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Credential |
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Telephone | 850-329-2932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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