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General NPI Number Information
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NPI Number | 1033232533
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Entity Type | Organization
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Legal Business Name | WHOLE BODY HEALTH, INC.
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 204 EXECUTIVE CT STE. 110
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4542
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Country | US
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Telephone | 501-224-5557
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Fax | 501-224-5571
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Provider Business Mailing Address
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Address Line | 204 EXECUTIVE CT STE. 110
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4542
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Country | US
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Telephone | 501-224-5557
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Fax | 501-224-5571
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Authorized Official
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Title or Position | PRESIDENT
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Name | TESSA T. NGUYEN
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Credential | D.C.
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Telephone | 501-224-5557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1635
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License Number State | AR
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