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General NPI Number Information
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NPI Number | 1104212729
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Entity Type | Organization
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Legal Business Name | ANANDA HEALTH & WELLNESS INC
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 3970 W FLAGLER ST STE 103
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City | CORAL GABLES
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State | FL
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Zip | 33134-1642
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Country | US
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Telephone | 786-391-4134
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Fax |
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Provider Business Mailing Address
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Address Line | 3970 W FLAGLER ST STE 103
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City | CORAL GABLES
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State | FL
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Zip | 33134-1642
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Country | US
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Telephone | 786-391-4134
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LLIANA ALARCON ARAGON
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Credential | RN
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Telephone | 786-391-4134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 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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