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General NPI Number Information
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NPI Number | 1306434576
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Entity Type | Organization
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Legal Business Name | WHOLE PERSON HEALTH, LLC
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 294 PLEASANT ST STE 201B
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City | STOUGHTON
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State | MA
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Zip | 02072-2571
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Country | US
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Telephone | 781-344-0720
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Fax | 781-344-0891
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Provider Business Mailing Address
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Address Line | 294 PLEASANT ST STE 201B
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City | STOUGHTON
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State | MA
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Zip | 02072-2571
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Country | US
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Telephone | 781-344-0720
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Fax | 781-344-0891
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Authorized Official
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Title or Position | OWNER
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Name | DR. MITZI JOHNSON
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Credential | MD
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Telephone | 781-344-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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