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General NPI Number Information
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NPI Number | 1629701792
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Entity Type | Organization
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Legal Business Name | TRANQUILITY MENTAL HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 2430 ESTANCIA BLVD STE 106
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City | CLEARWATER
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State | FL
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Zip | 33761-2607
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Country | US
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Telephone | 727-416-2845
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Fax | 727-205-5448
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Provider Business Mailing Address
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Address Line | 15985 PRESERVE MARKETPLACE BLVD UNIT 107
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City | ODESSA
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State | FL
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Zip | 33556-5509
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Country | US
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Telephone | 727-683-6868
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Fax | 727-205-5448
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | LISA ANN LOWE
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Credential | APRN, PMHNP-BC, FNP-
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Telephone | 727-683-6868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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