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General NPI Number Information
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NPI Number | 1952948341
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Entity Type | Organization
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Legal Business Name | ATARAXIA HEALTH & LIFE ALTERNATIVES, LLC
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 02/17/2020
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Provider Practice Location Address
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Address Line | 2600 CYPRESS RIDGE BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6310
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Country | US
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Telephone | 813-313-8486
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 CYPRESS RIDGE BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6310
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Country | US
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Telephone | 813-313-8486
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. BRANDON MOORE-HARGROVE
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Credential |
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Telephone | 813-313-8486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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