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General NPI Number Information
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NPI Number | 1255231023
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Entity Type | Organization
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Legal Business Name | WHOLE STORY WELLNESS LLC
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 223 E 14TH ST STE 93
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City | HASTINGS
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State | NE
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Zip | 68901-3200
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Country | US
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Telephone | 402-835-5879
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Fax | 402-835-0701
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Provider Business Mailing Address
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Address Line | 223 E 14TH ST STE 93
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City | HASTINGS
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State | NE
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Zip | 68901-3200
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Country | US
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Telephone | 402-835-5879
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Fax | 402-835-0701
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA GROSSE
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Credential | APRN
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Telephone | 402-835-5879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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