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General NPI Number Information
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NPI Number | 1306750047
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Entity Type | Organization
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Legal Business Name | NIA WELLNESS GROUP
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 2512 MERTON DR
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City | LEANDER
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State | TX
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Zip | 78641-3782
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Country | US
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Telephone | 737-245-4899
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Fax |
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Provider Business Mailing Address
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Address Line | 2512 MERTON DR
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City | LEANDER
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State | TX
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Zip | 78641-3782
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Country | US
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Telephone | 737-245-4899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANTANIA BARNES PRIESTER
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Credential | LBS, CPC
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Telephone | 737-245-4899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | NULL
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