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General NPI Number Information
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NPI Number | 1043406499
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Entity Type | Organization
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Legal Business Name | CORPORATE HEALTH & WELLNESS, INC
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 218 MAIN ST
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City | PARIS
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State | KY
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Zip | 40361-2004
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Country | US
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Telephone | 858-987-0586
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Fax |
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Provider Business Mailing Address
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Address Line | 218 MAIN ST
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City | PARIS
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State | KY
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Zip | 40361-2004
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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 | CHIEF EXECUTIVE OFFICER
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Name | MRS. MARY B CHEEK
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Credential | NURSE
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Telephone | 858-987-0586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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