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General NPI Number Information
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NPI Number | 1306799333
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Entity Type | Organization
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Legal Business Name | P.O.W.E.R. WELNESS AND FAMILY CENTER
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 735 E WALNUT ST STE 4
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City | GREEN BAY
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State | WI
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Zip | 54301-4062
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Country | US
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Telephone | 274-207-4257
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Fax |
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Provider Business Mailing Address
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Address Line | 735 E WALNUT ST STE 4
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City | GREEN BAY
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State | WI
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Zip | 54301-4062
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Country | US
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Telephone | 274-207-4257
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/OWNER
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Name | LAMECIA DIANE PALMER
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Credential |
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Telephone | 312-607-1605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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