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General NPI Number Information
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NPI Number | 1407776255
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Entity Type | Organization
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Legal Business Name | PA WELLNESS CARE INC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 2 W MARKET ST STE 506
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City | YORK
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State | PA
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Zip | 17401-1208
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Country | US
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Telephone | 717-844-9454
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Fax |
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Provider Business Mailing Address
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Address Line | 253 LAKESIDE XING
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City | MOUNT JOY
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State | PA
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Zip | 17552-9058
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Country | US
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Telephone | 717-644-8821
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZACHARY THOMAS MILLER
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Credential | PA-C
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Telephone | 717-644-8821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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