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General NPI Number Information
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NPI Number | 1366338170
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Entity Type | Organization
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Legal Business Name | HEART OF WELLNESS LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 2020 FRONT ST STE 105
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-3257
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Country | US
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Telephone | 330-413-7989
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Fax |
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Provider Business Mailing Address
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Address Line | 1485 CHAMPIONSHIP CIR SE
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City | MASSILLON
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State | OH
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Zip | 44646-8334
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Country | US
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Telephone | 330-413-7989
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROBERT HALL
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Credential |
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Telephone | 330-413-7989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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