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General NPI Number Information
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NPI Number | 1962277160
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Entity Type | Organization
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Legal Business Name | COMPLETE FAMILY HEALTH, LLC
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 99 6TH ST SW STE 101
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City | WINTER HAVEN
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State | FL
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Zip | 33880-7902
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Country | US
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Telephone | 407-268-6668
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Fax | 407-214-8211
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Provider Business Mailing Address
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Address Line | 733 TERRANOVA AVE
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City | WINTER HAVEN
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State | FL
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Zip | 33884-3411
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Country | US
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Telephone | 863-288-1709
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | NACRESHA NICOLE RICHARDSON
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Credential | APRN
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Telephone | 863-288-1709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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