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General NPI Number Information
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NPI Number | 1407284557
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Entity Type | Organization
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Legal Business Name | WELLNESS WORKS PA LLC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 4309 COUNTY LINE RD
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City | CHALFONT
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State | PA
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Zip | 18914-1823
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Country | US
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Telephone | 484-489-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 4309 COUNTY LINE RD
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City | CHALFONT
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State | PA
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Zip | 18914-1823
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Country | US
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Telephone | 484-489-1700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JULIE A SPAHN
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Credential | LMT
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Telephone | 484-489-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG001415
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License Number State | PA
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