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General NPI Number Information
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NPI Number | 1396325262
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Entity Type | Organization
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Legal Business Name | WELLNESS HEALTH MEDICINE LLC
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 940 W CANTON AVE APT B338
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City | WINTER PARK
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State | FL
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Zip | 32789-7502
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Country | US
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Telephone | 617-438-6063
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Fax |
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Provider Business Mailing Address
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Address Line | 940 W CANTON AVE APT B338
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City | WINTER PARK
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State | FL
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Zip | 32789-7502
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Country | US
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Telephone | 617-438-6063
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. JOEL KAHN
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Credential | MD
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Telephone | 617-438-6063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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