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General NPI Number Information
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NPI Number | 1619785540
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Entity Type | Organization
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Legal Business Name | OCALA HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 1305 SE 25TH LOOP STE 103
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City | OCALA
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State | FL
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Zip | 34471-6090
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Country | US
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Telephone | 352-810-9387
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Fax |
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Provider Business Mailing Address
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Address Line | 12870 W HIGHWAY 40
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City | OCALA
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State | FL
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Zip | 34481-1206
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Country | US
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Telephone | 706-206-2666
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA HOWINGTON
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Credential | APRN
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Telephone | 706-206-2666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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