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General NPI Number Information
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NPI Number | 1104611367
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Entity Type | Organization
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Legal Business Name | BOOST YOUR HEALTH AND WELLNESS
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 4056 ALCOTT CIR
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City | ORLANDO
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State | FL
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Zip | 32828-4884
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Country | US
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Telephone | 916-665-0603
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Fax |
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Provider Business Mailing Address
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Address Line | 626 N ALAFAYA TRL STE 206
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City | ORLANDO
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State | FL
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Zip | 32828-4353
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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 | OWNER
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Name | TEJI DHAMI
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Credential |
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Telephone | 916-665-0603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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