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General NPI Number Information
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NPI Number | 1265226849
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Entity Type | Organization
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Legal Business Name | SCRIPTS 360 WELLNESS CO
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1540 MICHIGAN ST
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City | SIDNEY
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State | OH
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Zip | 45365-2451
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Country | US
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Telephone | 469-915-4211
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Fax | 937-658-6215
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Provider Business Mailing Address
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Address Line | 1540 MICHIGAN ST
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City | SIDNEY
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State | OH
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Zip | 45365-2451
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Country | US
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Telephone | 469-915-4211
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AL BERRY
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Credential |
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Telephone | 469-915-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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