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General NPI Number Information
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NPI Number | 1205567997
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Entity Type | Organization
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Legal Business Name | 4 HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 404 W MAIN ST STE A
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City | PAYSON
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State | AZ
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Zip | 85541-5377
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Country | US
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Telephone | 928-474-7409
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Fax | 602-263-3697
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Provider Business Mailing Address
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Address Line | 8752 E VIA DE COMMERCIO STE 2
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3396
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Country | US
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Telephone | 602-628-6634
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Fax | 480-289-5155
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEBORAH L FINNEY
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Credential |
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Telephone | 602-628-6634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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