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General NPI Number Information
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NPI Number | 1245126424
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Entity Type | Organization
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Legal Business Name | GREENUP HEALTH AND WELLNESS
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1621 ASHLAND RD STE 1
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City | GREENUP
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State | KY
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Zip | 41144-1269
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Country | US
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Telephone | 606-314-0266
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Fax |
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Provider Business Mailing Address
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Address Line | 1621 ASHLAND RD STE 1
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City | GREENUP
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State | KY
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Zip | 41144-1269
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Country | US
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Telephone | 606-314-0266
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Fax | 800-263-1548
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Authorized Official
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Title or Position | OWNER
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Name | JON H WALZ
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Credential | DO
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Telephone | 606-314-0266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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