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General NPI Number Information
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NPI Number | 1104786896
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Entity Type | Organization
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Legal Business Name | THE WELLNESS DRIP INC.
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 1817 RIVERDALE ST
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-1006
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Country | US
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Telephone | 413-402-6324
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Fax | 413-238-1278
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Provider Business Mailing Address
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Address Line | 1817 RIVERDALE ST
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-1006
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Country | US
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Telephone | 413-402-6324
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | AMANDA KANN
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Credential | NP
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Telephone | 413-423-0733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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