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General NPI Number Information
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NPI Number | 1740785344
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Entity Type | Organization
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Legal Business Name | NOVA WELLNESS SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 110 N WILLOW ST STE 130
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City | KENAI
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State | AK
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Zip | 99611-7797
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Country | US
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Telephone | 907-770-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 50618 BUOY AVE
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City | KENAI
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State | AK
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Zip | 99611-6409
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KASIE S SCHEER
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Credential | ANP
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Telephone | 907-252-7154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 895
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License Number State | AK
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