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General NPI Number Information
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NPI Number | 1912702028
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Entity Type | Organization
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Legal Business Name | HEALTH OPTIMIZATION TREATMENT
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 24689
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 314-279-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 8 LAURELWOOD CT
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City | SAINT LOUIS
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State | MO
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Zip | 63146-4940
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Country | US
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Telephone | 314-279-4565
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Fax | 309-326-4526
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Authorized Official
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Title or Position | OWNER
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Name | ALISHA MICHELLE JONES
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Credential | FNP-C
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Telephone | 314-279-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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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 | 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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