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General NPI Number Information
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NPI Number | 1376805895
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Entity Type | Organization
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Legal Business Name | WELLNESS RESOURCE SOLUTIONS
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 06/20/2012
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Provider Practice Location Address
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Address Line | 1777 KLOCKNER RD
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City | HAMILTON
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State | NJ
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Zip | 08619-2725
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Country | US
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Telephone | 954-641-5366
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Fax |
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Provider Business Mailing Address
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Address Line | 3471 N FEDERAL HWY SUITE 402
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City | OAKLAND PARK
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State | FL
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Zip | 33306-1019
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Country | US
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Telephone | 954-641-5366
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERIC J LEON
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Credential | D.C.
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Telephone | 954-641-5366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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