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General NPI Number Information
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NPI Number | 1235990896
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Entity Type | Organization
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Legal Business Name | WHOLE HEALTH ADVOCATES
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 3080 HIGHLANDS PKWY SE
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City | SMYRNA
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State | GA
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Zip | 30082-5181
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Country | US
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Telephone | 404-445-8887
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Fax | 866-525-8997
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Provider Business Mailing Address
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Address Line | 3080 HIGHLANDS PKWY SE
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City | SMYRNA
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State | GA
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Zip | 30082-5181
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Country | US
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Telephone | 404-445-8887
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Fax | 866-525-8997
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Authorized Official
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Title or Position | CO-FOUNDER AND CEO
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Name | DR. HARRY M LIGHTFOOT JR.
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Credential | MD
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Telephone | 404-326-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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