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General NPI Number Information
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NPI Number | 1144427071
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Entity Type | Organization
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Legal Business Name | WELLNESS & METABOLIC MEDICAL CENTER, INC
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 150 SE 17TH ST SUITE 702
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City | OCALA
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State | FL
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Zip | 34471-5178
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Country | US
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Telephone | 352-671-8030
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Fax | 352-671-8031
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Provider Business Mailing Address
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Address Line | 150 SE 17TH STREET SUITE 702
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City | OCALA
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State | FL
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Zip | 34471-5159
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Country | US
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Telephone | 352-671-8030
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Fax | 352-671-8031
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAMELA ROSE LEWIN
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Credential | M.D.
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Telephone | 352-671-8030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME 0036262
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License Number State | FL
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