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General NPI Number Information
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NPI Number | 1275426322
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Entity Type | Organization
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Legal Business Name | WELLNESS LIFE AND COACHING, INC.
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1500 W 1ST AVE STE 200
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City | WESTON
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State | FL
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Zip | 33327-1006
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Country | US
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Telephone | 954-980-1072
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Fax |
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Provider Business Mailing Address
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Address Line | 17278 SW 9TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4224
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Country | US
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Telephone | 954-243-9559
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGEMENT
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Name | IVETTE LLAMAS
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Credential |
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Telephone | 954-243-9559
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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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