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General NPI Number Information
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NPI Number | 1013697952
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Entity Type | Organization
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Legal Business Name | WELLNEXX HEALTH LLC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 355 S TELLER ST STE 200
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City | LAKEWOOD
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State | CO
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Zip | 80226-7391
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Country | US
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Telephone | 720-967-5710
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Fax |
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Provider Business Mailing Address
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Address Line | 8166 W EASTMAN PL
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City | LAKEWOOD
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State | CO
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Zip | 80227-6231
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN CLARK
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Credential |
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Telephone | 720-967-5710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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