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General NPI Number Information
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NPI Number | 1801654108
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Entity Type | Organization
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Legal Business Name | DR. G'S HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1020 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4411
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Country | US
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Telephone | 813-358-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 18591 S DIXIE HWY # 1099
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City | CUTLER BAY
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State | FL
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Zip | 33157-6845
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Country | US
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Telephone | 813-358-7780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGIETTE BROWN
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Credential | DNP
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Telephone | 305-771-1302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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