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General NPI Number Information
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NPI Number | 1659177210
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Entity Type | Individual
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Provider Name | VANESSA JEAN-LOUIS
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1021 SE MONTEREY RD APT A26
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City | STUART
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State | FL
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Zip | 34994-4568
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Country | US
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Telephone | 772-900-6845
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Fax | 772-324-5812
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Provider Business Mailing Address
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Address Line | 1021 SE MONTEREY RD APT A26
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City | STUART
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State | FL
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Zip | 34994-4568
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Country | US
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Telephone | 772-900-6845
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Fax | 772-324-5812
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 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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Taxonomy #3
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number | 000000000
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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