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General NPI Number Information
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NPI Number | 1013806348
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Entity Type | Organization
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Legal Business Name | INTEGRATED WELLNESS CONSULTING LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 301 HIGH POINTE LN
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City | NEPTUNE
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State | NJ
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Zip | 07753-2771
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Country | US
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Telephone | 718-755-1507
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Fax |
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Provider Business Mailing Address
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Address Line | 301 HIGH POINTE LN
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City | NEPTUNE
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State | NJ
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Zip | 07753-2771
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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 | JOHN CAMPETELLA
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Credential |
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Telephone | 187-551-5077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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