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General NPI Number Information
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NPI Number | 1225844715
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Entity Type | Organization
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Legal Business Name | WAY LESS LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 120 E 90TH DR
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7160
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Country | US
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Telephone | 219-769-1670
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Fax |
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Provider Business Mailing Address
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Address Line | 120 E 90TH DR
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7160
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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 | OWNER
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Name | MUSTAFA NAKAWA
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Credential | MBBS
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Telephone | 617-449-8274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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