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General NPI Number Information
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NPI Number | 1629748462
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Entity Type | Organization
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Legal Business Name | NEW PATH WELLNESS CENTER
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 1303 10TH STREET EAST BUILDING C
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City | PALMETTO
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State | FL
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Zip | 34221
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Country | US
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Telephone | 941-348-9088
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Fax |
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Provider Business Mailing Address
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Address Line | 1303 10TH STREET EAST BUILDING C
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City | PALMETTO
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State | FL
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Zip | 34221
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Country | US
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Telephone | 941-348-9088
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Fax | 949-437-3653
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Authorized Official
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Title or Position | OWNER
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Name | CECILIA WILLIAMS
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Credential | FNP/PMHNP
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Telephone | 941-348-9088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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