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General NPI Number Information
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NPI Number | 1962017475
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Entity Type | Organization
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Legal Business Name | IN DUE SEASON WELLNESS GROUP LLC
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 5034 7TH ST
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2132
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Country | US
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Telephone | 813-377-2229
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Fax | 813-816-6438
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Provider Business Mailing Address
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Address Line | 5034 7TH ST
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2132
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Country | US
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Telephone | 813-377-2229
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Fax | 813-816-6438
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Authorized Official
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Title or Position | OWNER
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Name | LUCIE BRYANT
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Credential | CPM
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Telephone | 813-377-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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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 | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound 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 | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 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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Taxonomy #6
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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