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General NPI Number Information
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NPI Number | 1265723316
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Entity Type | Organization
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Legal Business Name | HEALTH & WELLNESS INSTITUTE, LLC
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 7890 PETERS RD SUITE G-109
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City | PLANTATION
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State | FL
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Zip | 33324-4028
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Country | US
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Telephone | 954-577-7772
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Fax | 954-577-7992
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Provider Business Mailing Address
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Address Line | 7890 PETERS RD SUITE G-109
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City | PLANTATION
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State | FL
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Zip | 33324-4028
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Country | US
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Telephone | 954-577-7772
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Fax | 954-577-7992
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | CHRISTINA SICILIANO
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Credential | P.T.A.
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Telephone | 954-577-7772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT23610
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License Number State | FL
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