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General NPI Number Information
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NPI Number | 1699567966
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Entity Type | Organization
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Legal Business Name | PROJECT HEALTH & ESTHETICS, INC.
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 9770 BAYMEADOWS RD STE 117
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7986
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Country | US
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Telephone | 904-516-7920
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Fax | 904-530-9480
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Provider Business Mailing Address
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Address Line | 6783 CHESTER PARK CIR
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City | JACKSONVILLE
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State | FL
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Zip | 32222-1427
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Country | US
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Telephone | 904-647-4447
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Fax | 904-647-4447
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Authorized Official
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Title or Position | CO-OWNER/CFO
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Name | DANIELLE MONDESIR
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Credential |
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Telephone | 904-647-4447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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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Taxonomy #3
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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