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General NPI Number Information
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NPI Number | 1477645455
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Entity Type | Organization
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Legal Business Name | RICH HEALTH AND WELLNESS INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 4410 EXECUTIVE CIR NW SUITE B
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City | CANTON
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State | OH
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Zip | 44718-2983
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Country | US
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Telephone | 330-497-0000
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Fax | 330-497-8089
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Provider Business Mailing Address
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Address Line | 4410 EXECUTIVE CIR NW SUITE B
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City | CANTON
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State | OH
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Zip | 44718-2983
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Country | US
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Telephone | 330-497-0000
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Fax | 330-497-8089
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON LOWELL RICH
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Credential | M.D.
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Telephone | 330-497-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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