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General NPI Number Information
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NPI Number | 1073236568
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Entity Type | Organization
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Legal Business Name | WELLSTRONG HEALTH LLC
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 1600 SARATOGA AVE UNIT 46
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City | SAN JOSE
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State | CA
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Zip | 95129-5101
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Country | US
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Telephone | 949-615-9065
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Fax |
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Provider Business Mailing Address
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Address Line | 6125 PASEO DEL NORTE STE 210
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City | CARLSBAD
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State | CA
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Zip | 92011-1113
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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 | BUSINESS CONSULTANT
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Name | PAT BYRNES
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Credential |
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Telephone | 949-615-9065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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