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General NPI Number Information
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NPI Number | 1306787668
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Entity Type | Organization
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Legal Business Name | ANIMA WELLNESS LLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 3015 ALOMA AVE STE A
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City | WINTER PARK
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State | FL
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Zip | 32792-3707
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Country | US
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Telephone | 407-383-4691
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Fax |
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Provider Business Mailing Address
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Address Line | 3015 ALOMA AVE STE A
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City | WINTER PARK
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State | FL
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Zip | 32792-3707
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Country | US
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Telephone | 407-383-4691
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WANYAN CHEN
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Credential | L.A.C
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Telephone | 312-646-8917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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