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General NPI Number Information
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NPI Number | 1821871245
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Entity Type | Organization
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Legal Business Name | BELLEVIE WELLNESS CARE
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 18448 NW 9TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3604
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Country | US
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Telephone | 954-628-2378
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Fax |
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Provider Business Mailing Address
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Address Line | 18448 NW 9TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3604
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Country | US
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Telephone | 954-628-2378
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ARNOLD FRANCK
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Credential |
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Telephone | 954-628-2378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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