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General NPI Number Information
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NPI Number | 1699528604
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Entity Type | Organization
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Legal Business Name | ESSENCE OF WELLBEING
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 13399 SW 28TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-3880
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Country | US
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Telephone | 305-761-1025
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Fax | 888-370-3135
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Provider Business Mailing Address
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Address Line | 13399 SW 28TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-3880
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Country | US
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Telephone | 305-761-1025
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Fax | 888-370-3135
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Authorized Official
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Title or Position | OWNER/CEO
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Name | GABRIELLA ANGULO
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Credential | PMHNP/ARNP
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Telephone | 305-761-1025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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