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General NPI Number Information
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NPI Number | 1700262698
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Entity Type | Organization
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Legal Business Name | PATIENT CENTERED HEALTH CARE AND WELLNESS LLC
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 108 N MAGNOLIA AVE STE 324
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City | OCALA
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State | FL
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Zip | 34475-6642
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Country | US
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Telephone | 352-267-8897
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Fax | 321-249-0505
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Provider Business Mailing Address
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Address Line | 15572 SE 138TH TER PO BOX 431
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City | WEIRSDALE
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State | FL
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Zip | 32195-4428
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Country | US
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Telephone | 352-267-8897
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Fax | 321-249-0505
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Authorized Official
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Title or Position | OWNER
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Name | CINDY ANN GROW
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Credential | ARNP
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Telephone | 352-267-8897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9326861
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License Number State | FL
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