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General NPI Number Information
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NPI Number | 1760136287
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 1111 NE 25TH AVE STE 104
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City | OCALA
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State | FL
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Zip | 34470-5665
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Country | US
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Telephone | 352-209-4366
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 SW 90TH LN
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City | OCALA
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State | FL
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Zip | 34476-9576
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Country | US
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Telephone | 352-209-4366
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Fax |
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Authorized Official
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Title or Position | AO
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Name | AMINA RAMAANU-PORTER
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Credential | APRN
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Telephone | 352-209-4366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 363LA2200X
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Taxonomy Name | Adult Health 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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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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 | 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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