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General NPI Number Information
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NPI Number | 1275027229
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Entity Type | Organization
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Legal Business Name | HELLO WELLNESS CENTER
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 5920 S RAINBOW BLVD STE 5
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City | LAS VEGAS
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State | NV
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Zip | 89118-4209
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Country | US
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Telephone | 702-917-1716
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Fax |
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Provider Business Mailing Address
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Address Line | 5920 S RAINBOW BLVD STE 5
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City | LAS VEGAS
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State | NV
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Zip | 89118-4209
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Country | US
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Telephone | 702-917-1716
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Fax |
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Authorized Official
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Title or Position | OWNER / DC
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Name | FIDEL ODUNUGA
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Credential | DC
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Telephone | 702-917-1716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | B01519
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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