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General NPI Number Information
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NPI Number | 1891652673
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Entity Type | Organization
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Legal Business Name | INTENTIONAL HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 201 STOVEPIPE ALLY ROAD
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City | MONROE
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State | ME
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Zip | 04951
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Country | US
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Telephone | 404-451-1271
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Fax |
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Provider Business Mailing Address
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Address Line | 201 STOVEPIPE ALLY ROAD
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City | MONROE
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State | ME
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Zip | 04951
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBBIN LEAGUE
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Credential | FNP-C
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Telephone | 404-451-1271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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