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General NPI Number Information
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NPI Number | 1306177928
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Entity Type | Organization
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Legal Business Name | INTEGRATED MEDICINE AND WELLNESS, P.C
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 984 N BROADWAY SUITE 316
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City | YONKERS
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State | NY
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Zip | 10701-1318
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Country | US
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Telephone | 914-965-1400
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Fax | 914-065-8464
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Provider Business Mailing Address
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Address Line | 984 N BROADWAY SUITE 316
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City | YONKERS
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State | NY
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Zip | 10701-1318
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Country | US
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Telephone | 914-965-1400
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Fax | 914-065-8464
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SARALA DEVI
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Credential | M.D
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Telephone | 914-965-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 111247
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License Number State | NY
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