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General NPI Number Information
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NPI Number | 1952748477
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 10/30/2013
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Provider Practice Location Address
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Address Line | 1008 N PARROTT AVE
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City | OKEECHOBEE
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State | FL
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Zip | 34972-2110
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Country | US
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Telephone | 863-634-2891
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Fax | 863-357-1305
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Provider Business Mailing Address
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Address Line | 1008 N PARROTT AVE
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City | OKEECHOBEE
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State | FL
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Zip | 34972-2110
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Country | US
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Telephone | 863-623-5086
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Fax | 863-623-5093
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AMANDA JANINE WILLIAMS
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Credential | ARNP
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Telephone | 863-634-2891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | ARNP9260832
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License Number State | FL
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