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General NPI Number Information
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NPI Number | 1477075711
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Entity Type | Organization
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Legal Business Name | 5 ELEMENTS NATURL WELLNESS
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6635 FLANDERS DR STE G
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City | SAN DIEGO
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State | CA
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Zip | 92121-2978
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Country | US
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Telephone | 858-564-8236
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Fax |
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Provider Business Mailing Address
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Address Line | 6635 FLANDERS DR STE G
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City | SAN DIEGO
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State | CA
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Zip | 92121-2978
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Country | US
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Telephone | 858-564-8236
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MICHAEL D SCOTT
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Credential | DC
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Telephone | 858-564-8236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 33044
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License Number State | CA
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