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General NPI Number Information
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NPI Number | 1760246086
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Entity Type | Organization
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Legal Business Name | NORTH STAR HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 950 S TAMIAMI TRL STE 206
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City | SARASOTA
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State | FL
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Zip | 34236-7818
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Country | US
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Telephone | 941-363-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 941-363-1030
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JULLIE SWEETSER
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Credential | APRN
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Telephone | 941-363-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 363L00000X
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Taxonomy Name | 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 | 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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