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General NPI Number Information
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NPI Number | 1245755644
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Entity Type | Organization
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Legal Business Name | FUSION HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1164 E OAKLAND PARK BLVD STE 102
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City | OAKLAND PARK
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State | FL
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Zip | 33334
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Country | US
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Telephone | 954-900-5635
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Fax | 954-990-7292
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Provider Business Mailing Address
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Address Line | 1164 E OAKLAND PARK BLVD STE 102
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City | OAKLAND PARK
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State | FL
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Zip | 33334-2709
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Country | US
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Telephone | 954-900-5635
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Fax | 954-990-7292
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Authorized Official
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Title or Position | COO
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Name | LAUREN ELIZABETH LIRA
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Credential | DC
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Telephone | 954-900-5635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 2278P1005X
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Taxonomy Name | Pulmonary Rehabilitation Certified Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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