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General NPI Number Information
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NPI Number | 1083264022
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Entity Type | Organization
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Legal Business Name | RIVER HEALTH & WELLNESS, LLC.
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 35671 KENAI SPUR HWY
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City | SOLDOTNA
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State | AK
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Zip | 99669-7627
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Country | US
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Telephone | 907-260-1655
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Fax | 855-854-8577
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Provider Business Mailing Address
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Address Line | 35671 KENAI SPUR HWY
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City | SOLDOTNA
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State | AK
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Zip | 99669-7627
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Country | US
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Telephone | 907-260-1655
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Fax | 855-854-8577
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Authorized Official
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Title or Position | OWNER
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Name | TANECIA WEBSTER
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Credential |
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Telephone | 907-260-1655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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