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General NPI Number Information
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NPI Number | 1275230757
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Entity Type | Organization
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Legal Business Name | EMPOWERING WELLNESS
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 439 N MCLEAN BLVD STE 204
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City | WICHITA
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State | KS
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Zip | 67203-5900
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Country | US
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Telephone | 316-358-0025
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Fax | 316-776-4554
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Provider Business Mailing Address
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Address Line | 439 N MCLEAN BLVD STE 204
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City | WICHITA
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State | KS
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Zip | 67203-5900
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Country | US
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Telephone | 316-358-0025
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Fax | 316-776-4554
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | JUAN CARLOS RIVAS
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Credential | APRN-NP
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Telephone | 316-358-0025
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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 |
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License Number State |
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