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General NPI Number Information
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NPI Number | 1447925987
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Entity Type | Organization
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Legal Business Name | LEGACY RECOVERY AND WELLNESS PC
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 840 FLEMING ST STE 1
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3541
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Country | US
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Telephone | 828-490-4444
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Fax | 828-698-7077
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Provider Business Mailing Address
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Address Line | 840 FLEMING ST STE 1
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3541
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Country | US
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Telephone | 828-490-4444
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Fax | 828-698-7077
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | LISA K WHEELER
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Credential | PA
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Telephone | 828-490-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine 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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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