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General NPI Number Information
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NPI Number | 1275482218
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Entity Type | Organization
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Legal Business Name | APPELLO HEALTH AND WELLNESS CLINIC, LLC
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 4682 S 48TH ST UNIT B
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City | SPRINGDALE
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State | AR
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Zip | 72762-8807
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Country | US
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Telephone | 501-951-3873
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Fax |
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Provider Business Mailing Address
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Address Line | 4682 S 48TH ST UNIT B
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City | SPRINGDALE
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State | AR
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Zip | 72762-8807
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JASON WAYNE LEE
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Credential |
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Telephone | 501-772-7518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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