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General NPI Number Information
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NPI Number | 1437741295
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Entity Type | Organization
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Legal Business Name | INTEGRATED WELLNESS CLINIC PC
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 491 ALLENDALE RD STE 222
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1431
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Country | US
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Telephone | 610-265-0500
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Fax | 610-265-0502
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Provider Business Mailing Address
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Address Line | 491 ALLENDALE RD STE 222
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1431
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Country | US
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Telephone | 610-265-0500
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Fax | 610-265-0502
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH ANDRE GARABEDIAN
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Credential | MD
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Telephone | 610-265-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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