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General NPI Number Information
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NPI Number | 1164112801
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Entity Type | Organization
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Legal Business Name | WELLNESS 4 LIFE LLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 7841 1ST AVE N # 325
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City | BIRMINGHAM
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State | AL
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Zip | 35206-4354
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Country | US
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Telephone | 205-740-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 7841 1ST AVE N # 325
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City | BIRMINGHAM
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State | AL
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Zip | 35206-4354
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Country | US
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Telephone | 205-740-5858
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. MARSHELLE HARRIS
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Credential | NBC-HWC
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Telephone | 205-740-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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