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NPI 1942115969

NPI 1942115969 : WHOLESUM, LLC : ST PETERSBURG, FL

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General NPI Number Information
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    NPI Number           |    1942115969
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHOLESUM, LLC 
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Dates
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    Enumeration Date     |    08/14/2026
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    Last Update Date     |    08/14/2026
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Provider Practice Location Address
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    Address Line         |    7901 4TH ST N STE 25289 
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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            |    321-418-6017
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    Fax                  |    321-204-7056
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Provider Business Mailing Address
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    Address Line         |    10524 MOSS PARK RD STE 204 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32832-5801
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    Country              |    US
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    Telephone            |    321-418-6017
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    Fax                  |    321-204-7056
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KAYLIE  TEJEDA 
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    Credential           |    DNAP, APRN, CRNA
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    Telephone            |    321-418-6017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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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        |    174H00000X
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    Taxonomy Name        |    Health Educator
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    
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    License Number State |    
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