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General NPI Number Information
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NPI Number | 1255780763
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Entity Type | Organization
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Legal Business Name | TOTAL FAMILY WELLNESS
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 1709 S FREDERICK AVE
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City | OELWEIN
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State | IA
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Zip | 50662-3106
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Country | US
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Telephone | 319-283-1981
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 S FREDERICK AVE
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City | OELWEIN
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State | IA
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Zip | 50662-3106
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Country | US
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Telephone | 319-283-1981
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LAURA M PARKINSON
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Credential | L.AC
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Telephone | 319-283-1981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A91
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License Number State | IA
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