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General NPI Number Information
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NPI Number | 1255870952
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Entity Type | Organization
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Legal Business Name | ALL-AMERICAN HEALTH AND WELLNESS, P.A.
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 3035 BOONE TRAIL EXT STE A
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3860
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Country | US
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Telephone | 910-491-5736
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Fax |
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Provider Business Mailing Address
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Address Line | 3035 BOONE TRAIL EXT STE A
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3860
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Country | US
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Telephone | 910-491-5736
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. MIMA REID
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Credential |
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Telephone | 910-527-6332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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