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General NPI Number Information
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NPI Number | 1770411647
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Entity Type | Organization
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Legal Business Name | TGL PRECISION WELLNESS
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1913 N CLYDE MORRIS BLVD STE 120
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-5519
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Country | US
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Telephone | 607-316-7043
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Fax |
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Provider Business Mailing Address
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Address Line | 205 EAGLE HARBOR WAY
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City | DAYTONA BEACH
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State | FL
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Zip | 32124-1023
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Country | US
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Telephone | 607-316-7043
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAYANNA LAWLOR
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Credential | FNP-BC
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Telephone | 607-316-7043
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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