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General NPI Number Information
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NPI Number | 1235768433
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Entity Type | Organization
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Legal Business Name | ACCESS HEALTH AND WELLNESS INC
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 2610 W BALMORAL AVE 505
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City | CHICAGO
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State | IL
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Zip | 60625-2364
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Country | US
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Telephone | 847-630-3715
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Fax | 951-257-7811
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Provider Business Mailing Address
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Address Line | 2610 W BALMORAL AVE APT 505
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City | CHICAGO
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State | IL
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Zip | 60625-2364
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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 | LOURDES LADLAD
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Credential |
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Telephone | 847-630-3715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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