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General NPI Number Information
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NPI Number | 1336865294
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Entity Type | Organization
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Legal Business Name | THE WELLNESS PROJECT LLC
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 1404 BRIMWOOD DR
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City | MCKINNEY
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State | TX
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Zip | 75072-7119
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Country | US
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Telephone | 909-838-3521
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 E GUASTI RD STE 100
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City | ONTARIO
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State | CA
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Zip | 91761-8661
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Country | US
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Telephone | 214-475-6331
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Fax | 909-614-7300
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Authorized Official
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Title or Position | SCHOOL PSYCHOLOGIST
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Name | SHANAE ROCHELLE FOX
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Credential | PUPIL PERSONNEL SERV
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Telephone | 214-475-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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