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General NPI Number Information
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NPI Number | 1871492330
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Entity Type | Organization
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Legal Business Name | NLINE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 235 PAQUITA CIR SW
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City | PALM BAY
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State | FL
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Zip | 32908-3468
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Country | US
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Telephone | 954-632-9694
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Fax | 321-517-2555
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Provider Business Mailing Address
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Address Line | 235 PAQUITA CIR SW
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City | PALM BAY
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State | FL
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Zip | 32908-3468
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Country | US
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Telephone | 954-632-9694
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Fax | 321-517-2555
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. NICKLINE C EMILE
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Credential | APRN
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Telephone | 954-632-9694
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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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