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General NPI Number Information
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NPI Number | 1043194335
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Entity Type | Organization
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Legal Business Name | AWOL HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 2214 PATTERSON ST
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City | GREENSBORO
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State | NC
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Zip | 27407-2534
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Country | US
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Telephone | 609-225-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 2214 PATTERSON ST
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City | GREENSBORO
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State | NC
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Zip | 27407-2534
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Country | US
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Telephone | 609-225-1560
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYNCH HUNT
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Credential |
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Telephone | 336-272-3342
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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