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General NPI Number Information
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NPI Number | 1447690656
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Entity Type | Organization
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Legal Business Name | LIFE WELLNESS FOUNDATION LLC
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 23142 SAN NICHOLAS PL
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City | KATY
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State | TX
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Zip | 77494-2506
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Country | US
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Telephone | 281-394-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 23142 SAN NICHOLAS PL
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City | KATY
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State | TX
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Zip | 77494-2506
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Country | US
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Telephone | 281-394-5650
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SONALI S PATIL
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Credential | PH.D.
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Telephone | 281-788-5868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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