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General NPI Number Information
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NPI Number | 1306139530
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Entity Type | Organization
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Legal Business Name | AMERI-WELLNESS, LLC
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 9650 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6241
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Country | US
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Telephone | 954-557-4016
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Fax |
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Provider Business Mailing Address
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Address Line | 2251 NW 77TH WAY SUITE 201
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3695
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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 | OWNER
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Name | CARLTON BRANKER
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Credential |
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Telephone | 954-557-4016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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