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General NPI Number Information
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NPI Number | 1609730654
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Entity Type | Organization
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Legal Business Name | MINDFUL HEART ORGANIZATION INC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 5897 LITTLE LEAF CT
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City | MILTON
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State | FL
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Zip | 32570-3501
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Country | US
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Telephone | 850-490-7829
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Fax | 850-304-0995
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Provider Business Mailing Address
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Address Line | 5897 LITTLE LEAF CT
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City | MILTON
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State | FL
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Zip | 32570-3501
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Country | US
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Telephone | 850-490-7829
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Fax | 850-304-0995
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Authorized Official
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Title or Position | OWNER
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Name | MARC DANIEL WHITTLESAY JR.
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Credential |
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Telephone | 850-490-7829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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