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General NPI Number Information
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NPI Number | 1437872629
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Entity Type | Organization
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Legal Business Name | ALL ONE TOTAL WELLNESS
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 4917 WARRINGTON RD
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City | MEMPHIS
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State | TN
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Zip | 38118-6534
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Country | US
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Telephone | 901-361-4446
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Fax |
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Provider Business Mailing Address
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Address Line | 4917 WARRINGTON RD
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City | MEMPHIS
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State | TN
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Zip | 38118-6534
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TOLLARIA WILLIAMS
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Credential | DNP
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Telephone | 901-361-4446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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