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General NPI Number Information
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NPI Number | 1114678588
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Entity Type | Organization
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Legal Business Name | TRI HEALTH FAMILY WELLNESS CENTER LLC
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 2253 GREEN HEDGES WAY
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6969
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Country | US
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Telephone | 813-771-6851
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Fax | 813-771-6875
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Provider Business Mailing Address
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Address Line | 2253 GREEN HEDGES WAY STE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6969
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Country | US
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Telephone | 813-771-6851
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Fax | 813-771-6875
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Authorized Official
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Title or Position | OWNER
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Name | MALEK S HUSSEIN
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Credential | MD
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Telephone | 813-838-8440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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