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General NPI Number Information
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NPI Number | 1174423941
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Entity Type | Organization
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Legal Business Name | ASCLEIA WELLNESS
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 208 WALL ST
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City | POWDERSVILLE
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State | SC
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Zip | 29673-6754
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Country | US
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Telephone | 864-674-1578
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Fax | 864-301-9383
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Provider Business Mailing Address
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Address Line | 208 WALL ST
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City | POWDERSVILLE
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State | SC
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Zip | 29673-6754
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Country | US
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Telephone | 864-674-1578
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Fax | 864-301-9383
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Authorized Official
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Title or Position | FOUNDER
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Name | AMANDA JULIA SACCO
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Credential | DNP, FNP-BC
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Telephone | 864-674-1578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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