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General NPI Number Information
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NPI Number | 1770453961
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Entity Type | Organization
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Legal Business Name | A NEW YOU BODY AND MIND WELLNESS
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 330 S PINEAPPLE AVE STE 101
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City | SARASOTA
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State | FL
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Zip | 34236-7041
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Country | US
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Telephone | 401-662-7740
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Fax | 401-340-1813
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Provider Business Mailing Address
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Address Line | 9448 CHANNING HILL DR
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-0249
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Country | US
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Telephone | 401-662-7740
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Fax | 401-340-1813
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON PEREIRA
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Credential | NP
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Telephone | 401-662-7740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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