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General NPI Number Information
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NPI Number | 1134052392
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Entity Type | Organization
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Legal Business Name | MAWA GROUP LLC
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Dates
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Enumeration Date | 06/06/2026
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Last Update Date | 06/06/2026
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Provider Practice Location Address
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Address Line | 800 S VIRGINIA ST STE C
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-3415
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Country | US
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Telephone | 270-881-8979
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | CROFTON
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State | KY
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Zip | 42217-0126
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Country | US
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Telephone | 270-881-8979
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | WHITNEY ALMY
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Credential | APRN
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Telephone | 270-719-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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