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General NPI Number Information
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NPI Number | 1063083095
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Entity Type | Organization
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Legal Business Name | INFLUX OF WEALTH, LLC
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 1202 E FIRE TOWER RD STE B
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City | GREENVILLE
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State | NC
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Zip | 27858-4196
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Country | US
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Telephone | 252-623-8759
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Fax | 866-899-9589
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Provider Business Mailing Address
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Address Line | PO BOX 30644
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City | GREENVILLE
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State | NC
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Zip | 27833-0644
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Country | US
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Telephone | 252-623-8759
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Fax | 866-899-9589
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ANTONIO M BUNN
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Credential |
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Telephone | 252-623-8759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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