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General NPI Number Information
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NPI Number | 1184025751
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Entity Type | Organization
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Legal Business Name | TOTAL WELLNESS CENTER
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 5352 TREMAINE DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3679
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Country | US
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Telephone | 714-312-9117
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Fax |
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Provider Business Mailing Address
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Address Line | 5352 TREMAINE DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3679
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | YEN NGUYEN
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Credential | DO
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Telephone | 714-312-9117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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