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General NPI Number Information
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NPI Number | 1609358076
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Entity Type | Organization
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Legal Business Name | AWW HEALTH CONNECTION LLC
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Dates
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Enumeration Date | 09/03/2018
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1142 ROAN CT
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City | KISSIMMEE
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State | FL
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Zip | 34759-7030
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Country | US
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Telephone | 229-444-2646
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Fax |
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Provider Business Mailing Address
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Address Line | 1142 ROAN CT
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City | KISSIMMEE
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State | FL
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Zip | 34759-7030
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Country | US
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Telephone | 229-444-2646
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Fax |
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Authorized Official
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Title or Position | ARNP/OWNER
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Name | MRS. ARNESSA WILLIAMS WESTON
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Credential | ARNP
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Telephone | 229-444-2646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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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 | 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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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9329061
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License Number State | FL
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