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General NPI Number Information
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NPI Number | 1962367219
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Entity Type | Organization
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Legal Business Name | MAISON CURA LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 223 N CAUSEWAY
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-5239
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Country | US
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Telephone | 386-308-5088
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Fax | 386-308-5089
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Provider Business Mailing Address
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Address Line | 223 N CAUSEWAY
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-5239
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Country | US
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Telephone | 386-308-5088
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Fax | 386-308-5089
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | KELLI BRIDGMAN
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Credential | APRN-BC
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Telephone | 678-227-2398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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