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General NPI Number Information
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NPI Number | 1487350443
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Entity Type | Organization
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Legal Business Name | ALMALLI WELLNESS LLC
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 6800 EARL AVE
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City | HUNTLEY
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State | MT
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Zip | 59037-9366
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Country | US
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Telephone | 406-647-3000
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Fax | 949-577-4409
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Provider Business Mailing Address
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Address Line | 6800 EARL AVE
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City | HUNTLEY
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State | MT
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Zip | 59037-9366
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Country | US
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Telephone | 406-647-3000
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Fax | 949-577-4409
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Authorized Official
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Title or Position | FNP-BC, MBR
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Name | SARAH MALLI
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Credential | FNP
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Telephone | 406-647-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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