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General NPI Number Information
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NPI Number | 1023876737
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Entity Type | Organization
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Legal Business Name | WELLNESS WHEELS, LLC
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 25578 SAINT JAMES
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City | SOUTHFIELD
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State | MI
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Zip | 48075-1248
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Country | US
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Telephone | 248-514-7717
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Fax |
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Provider Business Mailing Address
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Address Line | 28475 GREENFIELD RD STE 113
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3034
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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 | NOELLE HAIRSTON
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Credential |
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Telephone | 248-514-7717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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