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General NPI Number Information
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NPI Number | 1457866410
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Entity Type | Organization
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Legal Business Name | NEW DAY WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 12/12/2017
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Provider Practice Location Address
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Address Line | 600 S COUNTY FARM RD STE 204
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City | WHEATON
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State | IL
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Zip | 60187-4575
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Country | US
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Telephone | 630-344-9693
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Fax | 630-791-3759
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Provider Business Mailing Address
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Address Line | 600 S COUNTY FARM RD STE 204
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City | WHEATON
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State | IL
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Zip | 60187-4575
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Country | US
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Telephone | 630-344-9693
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Fax | 630-791-3759
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Authorized Official
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Title or Position | DOCTOR/ OWNER
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Name | MELISSA DYBALA
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Credential | ND, DC
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Telephone | 630-344-9693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | D38-012305
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License Number State | IL
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