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General NPI Number Information
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NPI Number | 1245619253
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Entity Type | Organization
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Legal Business Name | WELLNESS HEALTH CENTER INC
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 10 N.W. FRONT ST.
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City | MILFORD
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State | DE
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Zip | 19963-0001
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Country | US
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Telephone | 302-424-4100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 620001
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City | ORLANDO
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State | FL
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Zip | 32862-0001
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Country | US
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Telephone | 352-408-1090
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PIERRE MOISE
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Credential |
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Telephone | 352-408-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 20150515160
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License Number State | DE
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