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General NPI Number Information
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NPI Number | 1033851597
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Entity Type | Organization
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Legal Business Name | WELL HEALTH SANTA ROSA BEACH LLC
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 116 MC DAVIS BLVD STE 100
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-5085
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Country | US
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Telephone | 850-468-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 1085 SANDGRASS BLVD
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-8863
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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 | DIRECTOR OF FINANCE
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Name | CARIE LAWYER
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Credential |
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Telephone | 615-389-4303
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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 |
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License Number State |
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