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General NPI Number Information
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NPI Number | 1417431289
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Entity Type | Organization
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Legal Business Name | THE HEALING & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 09/18/2018
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Provider Practice Location Address
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Address Line | 2715 N AUSTRALIAN AVE STE 101
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-4500
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Country | US
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Telephone | 561-284-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 N AUSTRALIAN AVE STE 101
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-4500
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Country | US
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Telephone | 561-284-0123
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BETTY ALEXIS
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Credential |
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Telephone | 954-804-5239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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