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General NPI Number Information
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NPI Number | 1427053230
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Entity Type | Organization
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Legal Business Name | WELLNESS WAY INC
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 1385 S COLORADO BLVD STE 306
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City | DENVER
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State | CO
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Zip | 80222-3365
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Country | US
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Telephone | 303-722-2208
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Fax | 303-722-4411
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Provider Business Mailing Address
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Address Line | 1385 S COLORADO BLVD STE 306
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City | DENVER
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State | CO
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Zip | 80222-3304
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Country | US
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Telephone | 303-722-2208
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Fax | 303-722-4411
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Authorized Official
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Title or Position | GEN MGR
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Name | MR. CHRISTOPHER M MAESTAS
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Credential |
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Telephone | 303-722-2208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0404MV
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License Number State | CO
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