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General NPI Number Information
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NPI Number | 1043304942
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Entity Type | Organization
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Legal Business Name | TOTAL WELLNESS INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 3191 B MISSION INN AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507
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Country | US
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Telephone | 951-684-2874
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Fax | 951-684-2980
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Provider Business Mailing Address
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Address Line | 3191 B MISSION INN AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507
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Country | US
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Telephone | 951-684-2874
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Fax | 951-684-2980
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. MICHAEL DAVID RAPPAPORT
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Credential | MBA
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Telephone | 951-684-2874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT12634
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT28089
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License Number State | CA
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