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General NPI Number Information
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NPI Number | 1215494786
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Entity Type | Organization
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Legal Business Name | WHOLISTIC HEALTH
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 302 POINTER TRL W
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City | VAN BUREN
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State | AR
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Zip | 72956-2337
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Country | US
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Telephone | 479-208-2133
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 AMBLE ON LN
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City | VAN BUREN
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State | AR
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Zip | 72956-2075
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Country | US
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Telephone | 479-208-2133
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | WILLIAM KNAPPLE
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Credential | MPA, CPB
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Telephone | 479-343-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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